Healthcare Provider Details

I. General information

NPI: 1952304842
Provider Name (Legal Business Name): STEVEN SHERMAN PRAGER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 06/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 E SAN JOAQUIN ST
SALINAS CA
93901-2903
US

IV. Provider business mailing address

45 E SAN JOAQUIN ST
SALINAS CA
93901-2903
US

V. Phone/Fax

Practice location:
  • Phone: 831-424-3300
  • Fax: 831-758-4094
Mailing address:
  • Phone: 831-424-3300
  • Fax: 831-758-4094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberG72539
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: