Healthcare Provider Details
I. General information
NPI: 1679559785
Provider Name (Legal Business Name): STEVEN TERENCE LANGHEIM MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/20/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2136 W 8TH STREET PRICE HILL HEALTH CENTER
CINCINNATI OH
45204-2052
US
IV. Provider business mailing address
3101 BURNET AVENUE
CINCINNATI OH
45229-3098
US
V. Phone/Fax
- Phone: 513-357-2700
- Fax: 513-357-2750
- Phone: 513-357-7289
- Fax: 513-357-7396
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 35036564 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: