Provider Demographics
NPI:1801952387
Name:CHECROUN, STEVEN PROSPER (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:PROSPER
Last Name:CHECROUN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7970 E THOMPSON PEAK PKWY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-7407
Mailing Address - Country:US
Mailing Address - Phone:480-874-3937
Mailing Address - Fax:
Practice Address - Street 1:7970 E THOMPSON PEAK PKWY
Practice Address - Street 2:SUITE 102
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-7407
Practice Address - Country:US
Practice Address - Phone:480-874-3937
Practice Address - Fax:480-563-9906
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ29290207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ71076Medicare ID - Type Unspecified
AZG22251Medicare UPIN