| Provider / Organization | NPI | Date Certified |
|---|---|---|
| STEVEN PAUL POPLACK | 1285667378 | 2024-04-07 |
Steven Poplack MD [M] graduated in 1988 from Boston University School Of Medicine and primarily specializes in Diagnostic Radiology.
Steven Paul Poplack is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1285667378. Registration indicates Steven Paul Poplack is a provider of services with a specialization in Diagnostic Radiology (Radiology) (Allopathic & Osteopathic Physicians, Radiology) (Radiology: Diagnostic Radiology, ) (Diagnostics/Imaging/Laboratory/Mammography, ) (Radiology Diagnostic Radiology, Allopathic & Osteopathic Physicians) (Radiology, ) (Diagnostic Radiology (Radiology),, ) (Allopathic & Osteopathic Physicians, Radiology) (Radiology: Diagnostic Radiology, ) (Diagnostics/Imaging/Laboratory/Mammography, ) (Radiology Diagnostic Radiology, Allopathic & Osteopathic Physicians) (Radiology, )
| PECOS ID | 2961424155 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Steven Paul Poplack MD |
| Practice Office Address | 300 PASTEUR DR STANFORD, CA US |
| Practice Office Telephone | 6507234000 |
| Mailing Address | 300 PASTEUR DR STANFORD, CA 943052200 US |
| Business Telephone | 6507234000 |
| Code | Practice | License No State |
|---|---|---|
| 2085R0202X | Diagnostic Radiology (Radiology), Allopathic & Osteopathic Physicians Radiology Radiology: Diagnostic Radiology Diagnostics/Imaging/Laboratory/Mammography Radiology Diagnostic Radiology Allopathic & Osteopathic Physicians Radiology | 2015005803
MO |
| 2085R0202X PRIMARY | Diagnostic Radiology (Radiology), Allopathic & Osteopathic Physicians Radiology Radiology: Diagnostic Radiology Diagnostics/Imaging/Laboratory/Mammography Radiology Diagnostic Radiology Allopathic & Osteopathic Physicians Radiology | G168451
CA |
| ENROLLED | MEDICAID | IL | |
| 1285667378 | MEDICAID | MO |