Provider Demographics
NPI:1932191285
Name:SLOAN, STEVEN HOWARD (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:HOWARD
Last Name:SLOAN
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 1:1 SHRADER ST
Mailing Address - Street 2:STE 510
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94117-1016
Mailing Address - Country:US
Mailing Address - Phone:415-379-9900
Mailing Address - Fax:415-379-9910
Practice Address - Street 1:1 SHRADER ST
Practice Address - Street 2:STE 510
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94117-1016
Practice Address - Country:US
Practice Address - Phone:415-379-9900
Practice Address - Fax:415-379-9910
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-22
Last Update Date:2018-04-13
Deactivation Date:2006-03-23
Deactivation Code:
Reactivation Date:2006-03-30
Provider Licenses
StateLicense IDTaxonomies
CAG066134207YX0007X, 207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F67827Medicare UPIN
ZZZ24041ZMedicare ID - Type Unspecified