Provider Demographics
NPI:1306883293
Name:STREITFELD, STEPHEN V (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:V
Last Name:STREITFELD
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 1:7345 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
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-01
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ205632084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZP00131480OtherRAILROAD MEDICARE
AZ101238Medicaid
AZE36526Medicare UPIN
AZ101238Medicaid