Provider Demographics
NPI:1932180791
Name:DINERSTEIN, STEVAN LAWRENCE (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVAN
Middle Name:LAWRENCE
Last Name:DINERSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6560 FANNIN ST
Mailing Address - Street 2:SUITE 2204
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2761
Mailing Address - Country:US
Mailing Address - Phone:713-793-7550
Mailing Address - Fax:713-793-7555
Practice Address - Street 1:6560 FANNIN ST
Practice Address - Street 2:SUITE 2204
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2761
Practice Address - Country:US
Practice Address - Phone:713-793-7550
Practice Address - Fax:713-793-7555
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-09
Last Update Date:2009-04-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXE0883207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology