Provider Demographics
NPI:1942290952
Name:WILLIAMS, STEVEN R (M D)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:R
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:M D
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4830 KNIGHTSBRIDGE BLVD
Mailing Address - Street 2:SUITE E
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-2300
Mailing Address - Country:US
Mailing Address - Phone:614-451-2280
Mailing Address - Fax:614-451-4352
Practice Address - Street 1:4830 KNIGHTSBRIDGE BLVD
Practice Address - Street 2:SUITE E
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-2300
Practice Address - Country:US
Practice Address - Phone:614-451-2280
Practice Address - Fax:614-451-4352
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35048695W207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0516356Medicaid
OH0516356Medicaid