Healthcare Provider Details

I. General information

NPI: 1346267853
Provider Name (Legal Business Name): STEVEN L TEITELBAUM MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BARNES JEWISH HOSPITAL PLZ DIV PA ANATOMIC AND MOLECULAR PATH
SAINT LOUIS MO
63110-1003
US

IV. Provider business mailing address

PO BOX 7412011
CHICAGO IL
60674-2011
US

V. Phone/Fax

Practice location:
  • Phone: 314-362-5641
  • Fax: 314-362-0369
Mailing address:
  • Phone: 314-362-5641
  • Fax: 314-362-0369

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number29658
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: