Individual
STEVEN RICHARD FELDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4618 COUNTRY CLUB RD, WINSTON SALEM, NC 27104-3520
(336) 716-3926
(336) 716-9258
Mailing address
PO BOX 602658, CHARLOTTE, NC 28260-2658
(336) 716-2011
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
31811
NC
207ND0900X
Dermatopathology Physician
31811
NC
207NS0135X
Procedural Dermatology Physician
31811
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2002110000
—
WV
01
—
31516
BCBS
—
01
—
4514
PARTNERS
—
01
—
5869085
AETNA
—
05
—
5940168
—
VA
01
—
63997
MEDCOST
—
05
—
8931516
—
NC
05
—
Q31811
—
SC
Enumeration date
12/08/2005
Last updated
07/28/2015
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