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NPI Code Detail

MEDICARE: SUSAN R. STEIN MD

MEDICARE:   SUSAN R. STEIN  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
1207V00000XObstetrics & Gynecology Physician34974AZ

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ZFQ31815OTHERMEDICARE
2031881OTHERMEDICARE
3031815OTHERMEDICARE
5Z92977OTHERMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629007703
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN R. STEIN MD
Provider Business Mailing Address
First Line : PO BOX 748817
Second Line :
City : ATLANTA
State : GA
Zip : 30374-8817
Country : US
Telephone Number : 813-286-0033
Fax Number : 813-282-1806
Provider Business Practice Location Address
First Line : 3530 S VAL VISTA DR
Second Line :
City : GILBERT
State : AZ
Zip : 85297-7318
Country : US
Telephone Number : 480-633-6868
Fax Number : 480-633-6996
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2006
Last Update Date : 02/17/2026

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Directions to “ SUSAN R. STEIN MD” Practice Location

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