Basic Information
| Provider Information | |||||||||
| NPI: | 1972893535 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PRICE | ||||||||
| FirstName: | STEVEN | ||||||||
| MiddleName: | WINSTON | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2730 UNIVERSITY BLVD W | ||||||||
| Address2: | SUITE 108 | ||||||||
| City: | WHEATON | ||||||||
| State: | MD | ||||||||
| PostalCode: | 209021905 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3019428799 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2730 UNIVERSITY BLVD W | ||||||||
| Address2: | SUITE 108 | ||||||||
| City: | WHEATON | ||||||||
| State: | MD | ||||||||
| PostalCode: | 209021905 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3019428799 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/15/2011 | ||||||||
| LastUpdateDate: | 06/30/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207L00000X | D78069 | MD | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.