Healthcare Provider Details

I. General information

NPI: 1942261326
Provider Name (Legal Business Name): WILLIAM STEVEN OBERHEIM M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2006
Last Update Date: 11/16/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

63 SHAKER ROAD SUITE 202 ALBANY MEMORIAL PROFESSIONAL BUILDING
ALBANY NY
12204-1030
US

IV. Provider business mailing address

63 SHAKER ROAD SUITE 202 ALBANY MEMORIAL PROFESSIONAL BUILDING
ALBANY NY
12204-1030
US

V. Phone/Fax

Practice location:
  • Phone: 518-434-2763
  • Fax: 518-434-0730
Mailing address:
  • Phone: 518-434-2763
  • Fax: 518-434-0730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number109100
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: