MEDICARE: STEVEN C SINDERMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	MD13731	SC

General Provider Information

NPI Number	:	1508810623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN C SINDERMAN MD

Provider Business Mailing Address
First Line	:	2777 SPEISSEGGER DR
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29405-8229
Country	:	US
Telephone Number	:	843-747-5830
Fax Number	:	843-745-5115

Provider Business Practice Location Address
First Line	:	2777 SPEISSEGGER DR
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29405-8229
Country	:	US
Telephone Number	:	843-747-5830
Fax Number	:	843-745-5115

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2006
Last Update Date	:	06/02/2021

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