Provider Demographics
NPI:1669431656
Name:STRAUSS, STEVEN L (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:L
Last Name:STRAUSS
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 1:9106 PHILADELPHIA RD STE 208
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-4333
Mailing Address - Country:US
Mailing Address - Phone:410-918-0111
Mailing Address - Fax:443-231-5208
Practice Address - Street 1:9106 PHILADELPHIA RD STE 208
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-4333
Practice Address - Country:US
Practice Address - Phone:410-918-0111
Practice Address - Fax:443-231-5208
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-20
Last Update Date:2018-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00404992084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD212377YD6FOtherMEDICARE
GAP00961949OtherRAILROAD MEDICARE
MD52550005OtherCAREFIRST
DCX730 0001OtherCAREFIRST
MD755431100OtherMEDICAL ASSISTANCE
DCX730 0001OtherCAREFIRST