Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 01052455A | IN |
N | 208000000X | Pediatrician | 01052455A | IN |
Y | 2080P0202X | Pediatric Cardiologist | 01052455A | IN |
NPI | 1194700500 |
---|---|
Provider Name | Leonard Alan Steinberg |
First Address | Indianapolis, IN 46260-1316 |
Second Address | Indianapolis, IN 46260-1983 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2005 |
Last Update Date | 16/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200291810 | (05) | IN |
G30157 | (02) |