Provider Demographics
NPI:1710145255
Name:STEIN, STEPHANIE (MD)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:STEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:MICHELLE
Other - Last Name:ALESKOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5530 WISCONSIN AVE STE 527
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-4430
Mailing Address - Country:US
Mailing Address - Phone:301-941-3090
Mailing Address - Fax:240-465-3061
Practice Address - Street 1:5530 WISCONSIN AVE STE 527
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-4430
Practice Address - Country:US
Practice Address - Phone:301-941-3090
Practice Address - Fax:240-465-3061
Is Sole Proprietor?:No
Enumeration Date:2008-05-31
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD75565207RE0101X
390200000X
DCMD041097207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDS062-0520OtherCAREFIRST BC/BS
MD257905700Medicaid
MD289957ZADHMedicare PIN