Healthcare Provider Details

I. General information

NPI: 1821027434
Provider Name (Legal Business Name): KAREN A STEIDLE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 E. MARSHALL ST
RICHMOND VA
23291-0001
US

IV. Provider business mailing address

PO BOX 91734
RICHMOND VA
23291-1734
US

V. Phone/Fax

Practice location:
  • Phone: 804-358-6100
  • Fax:
Mailing address:
  • Phone: 804-358-6100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P0010X
TaxonomyPediatric Rehabilitation Medicine Physician
License Number0101233200
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: