Individual
DR. STEVEN SELBY BLANKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
10313 GEORGIA AVE, SUITE 201, SILVER SPRING, MD 20902-5006
(301) 592-0505
(301) 592-0503
Mailing address
10313 GEORGIA AVE, SUITE 201, SILVER SPRING, MD 20902-5006
(301) 592-0505
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
01135
MD
213E00000X
Podiatrist
PO499
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025912100
—
DC
01
—
162029
HIGHMARK MEDICARE
MD
05
—
450798300
—
MD
01
—
480013279
MEDICARE RAILROAD SERVICES
MD
01
—
88280001
BCBS
DC
01
—
KDK7BL
BCBS
MD
Enumeration date
01/10/2006
Last updated
01/27/2023
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