Provider Demographics
NPI:1720298912
Name:HARRIS, STEVEN JEFFREY (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:JEFFREY
Last Name:HARRIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1098 FOSTER CITY BLVD STE 305
Mailing Address - Street 2:
Mailing Address - City:FOSTER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94404-2375
Mailing Address - Country:US
Mailing Address - Phone:650-474-2130
Mailing Address - Fax:650-445-0912
Practice Address - Street 1:1098 FOSTER CITY BLVD STE 305
Practice Address - Street 2:
Practice Address - City:FOSTER CITY
Practice Address - State:CA
Practice Address - Zip Code:94404-2375
Practice Address - Country:US
Practice Address - Phone:650-474-2130
Practice Address - Fax:650-445-0912
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA72195207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine