Individual
STEVEN MASSAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1851 MESQUITE AVE STE 202, LAKE HAVASU CITY, AZ 86403-5681
(928) 854-0094
(928) 680-8986
Mailing address
393 LEFFERTS AVE, APT 3E, BROOKLYN, NY 11225-4331
(929) 248-9028
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
59849
AZ
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
59849
AZ
Other
Enumeration date
06/28/2016
Last updated
06/02/2020
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