Maxood, S Steven

Maxood, S Steven is an individual health care provider with primary practice located at 401 W Poplar St , Walla Walla WA 99362-2846. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Maxood, S Steven can be contacted via phone (509) 522-5731.

Contact Information

Primary practice address
401 W Poplar St Walla Walla WA 99362-2846
Fax: (509) 522-5747
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD00039933 Washington

Profile Details

NPI number 1770539991
LBN Legal business name Maxood, S Steven
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Jun 17th, 2021 - about 4 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 1770539991 NPPES
Washington Other MD00039933 STATE LICENSE NUMBER
Washington Other 0149754 STATE LICENSE NUMBER
Washington Other 110228191 STATE LICENSE NUMBER
Washington MEDICAID 8277857 STATE LICENSE NUMBER

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