Provider Demographics
NPI:1730110305
Name:MARSHAK, STEVEN PETER (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:PETER
Last Name:MARSHAK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9900 BELWARD CAMPUS DRIVE
Mailing Address - Street 2:SUITE 325
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850
Mailing Address - Country:US
Mailing Address - Phone:301-917-2185
Mailing Address - Fax:301-917-2191
Practice Address - Street 1:9900 BELWARD CAMPUS DRIVE
Practice Address - Street 2:SUITE 325
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850
Practice Address - Country:US
Practice Address - Phone:301-917-2185
Practice Address - Fax:301-917-2185
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101055239207R00000X
MDD0068171207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G84855Medicare UPIN
00W411N10Medicare PIN
G02020N02Medicare PIN
VAG84855Medicare UPIN
P00234312Medicare PIN