Healthcare Provider Details
I. General information
NPI: 1396702338
Provider Name (Legal Business Name): STEVEN MCGRAW MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/26/2006
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1309 W 17TH ST
SIOUX FALLS SD
57104-4663
US
IV. Provider business mailing address
PO BOX 5074
SIOUX FALLS SD
57117-5074
US
V. Phone/Fax
- Phone: 605-328-6001
- Fax: 605-328-8001
- Phone: 605-312-7605
- Fax: 605-312-7611
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0001X |
| Taxonomy | Radiation Oncology Physician |
| License Number | 5050 |
| License Number State | SD |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | 5050 |
| License Number State | SD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: