Provider Demographics
NPI:1174592554
Name:STEIN, MATTHEW N (MD)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:N
Last Name:STEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:330 ARKANSAS ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044-1335
Mailing Address - Country:US
Mailing Address - Phone:785-840-2800
Mailing Address - Fax:785-840-2813
Practice Address - Street 1:330 ARKANSAS ST
Practice Address - Street 2:SUITE 105
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-1335
Practice Address - Country:US
Practice Address - Phone:785-840-2800
Practice Address - Fax:785-840-2813
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2014-05-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS04-20087207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100137990BMedicaid
2546681OtherAETNA INSURANCE
830007297OtherMEDICARE RAILROAD
1373980OtherFIRST HEALTH
48-6033703-018OtherPRUDENTIAL
20299031OtherBC/BS OF KANSAS CITY
620821OtherFIRST GUARD
100531OtherBC/BS OF KANSAS
04-01152OtherUNITED HEALTHCARE
20299031OtherBC/BS OF KANSAS CITY
2546681OtherAETNA INSURANCE