Provider Demographics
NPI:1811483985
Name:STEINMAN, JUSTIN SAYAM (DO)
Entity type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:SAYAM
Last Name:STEINMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 ILENE ST
Mailing Address - Street 2:
Mailing Address - City:RAINBOW CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35906-6109
Mailing Address - Country:US
Mailing Address - Phone:256-504-8948
Mailing Address - Fax:
Practice Address - Street 1:1608 GLENN BLVD SW
Practice Address - Street 2:
Practice Address - City:FORT PAYNE
Practice Address - State:AL
Practice Address - Zip Code:35968-3522
Practice Address - Country:US
Practice Address - Phone:256-845-3500
Practice Address - Fax:256-997-9208
Is Sole Proprietor?:No
Enumeration Date:2018-07-02
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101024281390200000X
SC390200000X
ALDO.33992085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program