Healthcare Provider Details

I. General information

NPI: 1457436701
Provider Name (Legal Business Name): MARIA E STEELMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 06/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3249 MT DIABLO CT 105
LAFAYETTE CA
94549-4084
US

IV. Provider business mailing address

3249 MT DIABLO CT 105
LAFAYETTE CA
94549-4084
US

V. Phone/Fax

Practice location:
  • Phone: 925-287-0120
  • Fax: 925-287-0223
Mailing address:
  • Phone: 925-287-0120
  • Fax: 925-287-0223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberG81293
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: