Provider Demographics
NPI:1972707347
Name:STEWART, ELEANOR STEELE (MD)
Entity type:Individual
Prefix:DR
First Name:ELEANOR
Middle Name:STEELE
Last Name:STEWART
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4410 NATAHALA DR
Mailing Address - Street 2:# 1
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-4303
Mailing Address - Country:US
Mailing Address - Phone:301-297-5759
Mailing Address - Fax:301-297-5759
Practice Address - Street 1:4410 NATAHALA DR # 1
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-4303
Practice Address - Country:US
Practice Address - Phone:301-297-5759
Practice Address - Fax:301-297-5759
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD11629207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine