Provider Demographics
NPI:1861578551
Name:STEPHEN V. STREITFELD, MD., PC.
Entity type:Organization
Organization Name:STEPHEN V. STREITFELD, MD., PC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD PSYCHIATRIST
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:V
Authorized Official - Last Name:STREITFELD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-296-7766
Mailing Address - Street 1:7345 E TANQUE VERDE RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85715-3475
Mailing Address - Country:US
Mailing Address - Phone:520-296-7766
Mailing Address - Fax:520-296-2301
Practice Address - Street 1:7345 E TANQUE VERDE RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85715-3475
Practice Address - Country:US
Practice Address - Phone:520-296-7766
Practice Address - Fax:520-296-2301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ101238Medicaid
AZDB8375OtherRAILROAD MEDICARE
AZ101238Medicaid