Healthcare Provider Details

I. General information

NPI: 1932191285
Provider Name (Legal Business Name): STEVEN HOWARD SLOAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2005
Last Update Date: 04/13/2018
Certification Date:
Deactivation Date: 03/23/2006
Reactivation Date: 03/30/2006

III. Provider practice location address

1 SHRADER ST STE 510
SAN FRANCISCO CA
94117-1016
US

IV. Provider business mailing address

1 SHRADER ST STE 510
SAN FRANCISCO CA
94117-1016
US

V. Phone/Fax

Practice location:
  • Phone: 415-379-9900
  • Fax: 415-379-9910
Mailing address:
  • Phone: 415-379-9900
  • Fax: 415-379-9910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberG066134
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207YX0007X
TaxonomyPlastic Surgery within the Head & Neck (Otolaryngology) Physician
License NumberG066134
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: