MEDICARE: DR. STEPHEN ADJEI M.D.

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	207R00000X	Internal Medicine Physician	043787	CT
2	207R00000X	Internal Medicine Physician	T7406	TX
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	MD.204877	LA
4	207RP1001X	Pulmonary Disease Physician	MD.204877	LA
5	207RP1001X	Pulmonary Disease Physician	T7406	TX
6	208M00000X	Hospitalist Physician	043787	CT
7	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	T7406	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	043787	OTHER	CT	CONNECTICARE
2	043787	OTHER	CT	MEDLICENC
3	2V7343	OTHER	CT	HEALTHNET
4	010043787CT01	OTHER	CT	BLUE CROSS
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871518530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN ADJEI M.D.

Provider Business Mailing Address
First Line	:	5959 S SHERWOOD FOREST BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-6038
Country	:	US
Telephone Number	:	225-765-5864
Fax Number	:	225-765-9196

Provider Business Practice Location Address
First Line	:	7777 HENNESSY BLVD STE 409
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70808-4365
Country	:	US
Telephone Number	:	225-765-5864
Fax Number	:	225-765-2013

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

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	03/15/2023

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Directions to “ DR. STEPHEN ADJEI M.D.” Practice Location

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