Provider Demographics
NPI:1154352946
Name:QUARFORDT, STEVEN D (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:D
Last Name:QUARFORDT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:975 E 3RD ST
Mailing Address - Street 2:BOX 376
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37403-2147
Mailing Address - Country:US
Mailing Address - Phone:423-778-7234
Mailing Address - Fax:423-778-7245
Practice Address - Street 1:975 E 3RD ST
Practice Address - Street 2:BOX 376
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-2147
Practice Address - Country:US
Practice Address - Phone:423-778-7234
Practice Address - Fax:423-778-7245
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2022-08-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN367472085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3895376Medicaid
TNP00153137OtherRR MCARE-ADR
TNP00153154OtherRR MCARE- CI
TN4086655OtherPLAZA BC/BS OF TN
TN4086658OtherADR BC/BS OF TN
AL009963645Medicaid
GA742960915Medicaid
TN3895375Medicaid
TNP00153154OtherRR MCARE- CI
TNP00153137OtherRR MCARE-ADR
TN3895375Medicaid
TN4086655OtherPLAZA BC/BS OF TN
TNP00153154Medicare PIN