Provider Demographics
NPI:1902880586
Name:STEINMAN, RICHARD M (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:M
Last Name:STEINMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4972 NW 120TH AVE
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33076-3514
Mailing Address - Country:US
Mailing Address - Phone:954-796-8949
Mailing Address - Fax:954-796-8949
Practice Address - Street 1:4972 NW 120TH AVE
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33076-3514
Practice Address - Country:US
Practice Address - Phone:954-796-8949
Practice Address - Fax:954-796-8949
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME635882085R0202X
MDD461582085R0202X
CODR-335052085R0202X
IA306682085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL300130151OtherRAILROAD MEDICARE
FL253833400Medicaid
FLG14124Medicare UPIN
FL253833400Medicaid