MEDICARE: STEVEN CHARLES DRAEGER 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	207Q00000X	Family Medicine Physician	35043925D	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629029731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN CHARLES DRAEGER MD

Provider Business Mailing Address
First Line	:	1727 BETHEL RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-1836
Country	:	US
Telephone Number	:	614-293-2334
Fax Number	:	614-293-2335

Provider Business Practice Location Address
First Line	:	1727 BETHEL RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-1836
Country	:	US
Telephone Number	:	614-293-2334
Fax Number	:	614-293-2335

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

Provider Enumeration Date	:	05/13/2006
Last Update Date	:	03/07/2011

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