Provider Demographics
NPI:1982197976
Name:FAMOYE, CHELSEA STEFFENS (MD)
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:STEFFENS
Last Name:FAMOYE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:CHELSEA
Other - Middle Name:KEARNS
Other - Last Name:STEFFENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:184 N. MERKLE RD.
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43209-1554
Mailing Address - Country:US
Mailing Address - Phone:248-515-5778
Mailing Address - Fax:
Practice Address - Street 1:410 W 10TH AVENUE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1240
Practice Address - Country:US
Practice Address - Phone:614-293-3333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-13
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.1393112085R0202X, 2085R0204X
IL125072470208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No208600000XAllopathic & Osteopathic PhysiciansSurgery