Provider Demographics
NPI:1811282163
Name:PAKES, STEVEN PERRY (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:PERRY
Last Name:PAKES
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 1:11849 WINTERLONG WAY
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-4412
Mailing Address - Country:US
Mailing Address - Phone:410-992-3430
Mailing Address - Fax:
Practice Address - Street 1:11849 WINTERLONG WAY
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-4412
Practice Address - Country:US
Practice Address - Phone:410-992-3430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-15
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0021791207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine