Provider Demographics
NPI:1902975923
Name:RUBIN, STEVEN E (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:E
Last Name:RUBIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3495 LAKESIDE DR # 176
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-4841
Mailing Address - Country:US
Mailing Address - Phone:775-827-9900
Mailing Address - Fax:775-827-9902
Practice Address - Street 1:6119 RIDGEVIEW CT STE 300
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89519-6328
Practice Address - Country:US
Practice Address - Phone:775-827-9900
Practice Address - Fax:775-827-9902
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2009-12-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV68272084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002016985Medicaid