Individual
Inactive
Sole proprietor
Provider details
NPI number
Contact information
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD27456
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006083
—
OR
01
—
P00932249
RR MEDICARE
OR
Enumeration date
—
Last updated
—
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us