Provider Demographics
NPI:1720398225
Name:ELEK, STEVEN IV
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:
Last Name:ELEK
Suffix:IV
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NAVAL HEALTH CLINIC PATUXENT RIVER
Mailing Address - Street 2:47149 BUSE ROAD BLDG. 1370
Mailing Address - City:PATUXENT RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:20670
Mailing Address - Country:US
Mailing Address - Phone:301-995-2615
Mailing Address - Fax:
Practice Address - Street 1:NAVAL HEALTH CLINIC PATUXENT RIVER
Practice Address - Street 2:47149 BUSE ROAD BLDG. 1370
Practice Address - City:PATUXENT RIVER
Practice Address - State:MD
Practice Address - Zip Code:20670
Practice Address - Country:US
Practice Address - Phone:301-995-2615
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-18
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0116023238208D00000X
VA0102203038207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice