Provider Demographics
NPI:1811980584
Name:TEE, STEVEN T (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:T
Last Name:TEE
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 1:4409 39TH ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-2203
Mailing Address - Country:US
Mailing Address - Phone:202-244-9523
Mailing Address - Fax:301-699-3151
Practice Address - Street 1:3415 HAMILTON ST
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20782-3953
Practice Address - Country:US
Practice Address - Phone:301-699-5167
Practice Address - Fax:301-699-3151
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-26
Last Update Date:2007-12-21
Deactivation Date:2006-03-27
Deactivation Code:
Reactivation Date:2006-03-31
Provider Licenses
StateLicense IDTaxonomies
MDD0046998207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD434400600Medicaid
MDF49939Medicare UPIN
MD434400600Medicaid