Dewan, Stephen

Dewan, Stephen is an individual health care provider with primary practice located at 1010 W 40Th St , Austin TX 78756-4010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Dewan, Stephen can be contacted via phone (512) 459-8753.

Contact Information

Primary practice address
1010 W 40Th St Austin TX 78756-4010
Phone: (512) 459-8753
Fax: (512) 483-6828
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X F5518 Texas

Profile Details

NPI number 1245254515
LBN Legal business name Dewan, Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jul 30th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245254515 NPPES
Texas Other 741796484 TAX ID NO
Texas Other 824101 TAX ID NO
Texas MEDICAID 117733902 TAX ID NO
Texas Other 85004X TAX ID NO

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