Healthcare Provider Details

I. General information

NPI: 1366765182
Provider Name (Legal Business Name): STEVE J SCHWAB M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2010
Last Update Date: 10/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1407 UNION AVE STE 700
MEMPHIS TN
38104-3641
US

IV. Provider business mailing address

1407 UNION AVE STE 700
MEMPHIS TN
38104-3641
US

V. Phone/Fax

Practice location:
  • Phone: 901-866-8813
  • Fax: 901-302-2120
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number42904
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: