Healthcare Provider Details

I. General information

NPI: 1518528744
Provider Name (Legal Business Name): STEVEN GALKIN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2019
Last Update Date: 07/12/2022
Certification Date: 07/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5603 NEWBURY ST
BALTIMORE MD
21209-3603
US

IV. Provider business mailing address

3000 GLEN AVE
BALTIMORE MD
21215-4005
US

V. Phone/Fax

Practice location:
  • Phone: 410-929-5435
  • Fax:
Mailing address:
  • Phone: 443-927-6023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberH94763
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number5151014125
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: