Healthcare Provider Details

I. General information

NPI: 1033103114
Provider Name (Legal Business Name): STEVE A BURKA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/06/2005
Last Update Date: 10/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5530 WISCONSIN AVE #914
CHEVY CHASE MD
20815-4404
US

IV. Provider business mailing address

PO BOX 16
GREAT FALLS VA
22066-0016
US

V. Phone/Fax

Practice location:
  • Phone: 301-654-3803
  • Fax: 301-654-3808
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number026437
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberMD12866
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: