Healthcare Provider Details

I. General information

NPI: 1699790386
Provider Name (Legal Business Name): STEVEN SCHONFELD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 06/23/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9419 COMMON BROOK RD SUITE 200
OWINGS MILLS MD
21117-7536
US

IV. Provider business mailing address

501 FAIRMOUNT AVENUE SUITE 103
TOWSON MD
21286
US

V. Phone/Fax

Practice location:
  • Phone: 410-484-9595
  • Fax: 410-484-5139
Mailing address:
  • Phone: 410-494-7921
  • Fax: 410-902-8247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberD00027972
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberD0027972
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberD00027972
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: