Healthcare Provider Details

I. General information

NPI: 1902877889
Provider Name (Legal Business Name): STEPHEN T HECHT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 11/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2380 BECHELLI LN
REDDING CA
96002-0144
US

IV. Provider business mailing address

PO BOX 491835
REDDING CA
96049-1835
US

V. Phone/Fax

Practice location:
  • Phone: 530-226-1800
  • Fax: 530-226-1818
Mailing address:
  • Phone: 530-226-1800
  • Fax: 530-226-1818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberG45283
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2085D0003X
TaxonomyDiagnostic Neuroimaging (Radiology) Physician
License NumberG45283
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberG45283
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License NumberG45283
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: