MEDICARE: STEVEN H EDELMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	09360	OR
2	2085R0202X	Diagnostic Radiology Physician	2020-04056	NC
3	2085D0003X	Diagnostic Neuroimaging (Radiology) Physician	2020-04056	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093769390
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN H EDELMAN MD

Provider Business Mailing Address
First Line	:	UNC-CH DEPT OF RADIOLOGY W2108A OLD CLINIC CB#7510
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27599-0001
Country	:	US
Telephone Number	:	919-966-9047
Fax Number	:	919-843-8740

Provider Business Practice Location Address
First Line	:	UNC-CH DEPT OF RADIOLOGY W2108A OLD CLINIC CB#7510
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27599-6255
Country	:	US
Telephone Number	:	919-966-9047
Fax Number	:	919-843-8740

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	05/04/2021

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Directions to “ STEVEN H EDELMAN MD” Practice Location

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