MEDICARE: DR. STEVEN A ACCARINO 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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	036077	GA

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	:	1912903626
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN A ACCARINO MD

Provider Business Mailing Address
First Line	:	1505 NORTHSIDE BLVD
Second Line	:	STE 3000
City	:	CUMMING
State	:	GA
Zip	:	30041
Country	:	US
Telephone Number	:	770-886-0036
Fax Number	:	770-886-6677

Provider Business Practice Location Address
First Line	:	1505 NORTHSIDE BLVD
Second Line	:	STE 3000
City	:	CUMMING
State	:	GA
Zip	:	30041
Country	:	US
Telephone Number	:	770-886-0036
Fax Number	:	770-886-6677

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

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	02/07/2017

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