Provider Demographics
NPI:1912903626
Name:ACCARINO, STEVEN A (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:A
Last Name:ACCARINO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1505 NORTHSIDE BLVD
Mailing Address - Street 2:STE 3000
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041
Mailing Address - Country:US
Mailing Address - Phone:770-886-0036
Mailing Address - Fax:770-886-6677
Practice Address - Street 1:1505 NORTHSIDE BLVD
Practice Address - Street 2:STE 3000
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041
Practice Address - Country:US
Practice Address - Phone:770-886-0036
Practice Address - Fax:770-886-6677
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-27
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA036077207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000525698CMedicaid
GA511I810004Medicare PIN
GA000525698CMedicaid