Basic Information
Provider Information
NPI: 1023496650
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CURTI
FirstName: STEVEN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 326 VILLAGE LN
Address2:  
City: LOS GATOS
State: CA
PostalCode: 950307276
CountryCode: US
TelephoneNumber: 6503273232
FaxNumber:  
Practice Location
Address1: 2500 N STATE ST
Address2:  
City: JACKSON
State: MS
PostalCode: 392164500
CountryCode: US
TelephoneNumber: 6019846885
FaxNumber: 6019845085
Other Information
ProviderEnumerationDate: 05/15/2015
LastUpdateDate: 09/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/21/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207YS0123XA167583CAY Allopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery

No ID Information.


Home