Provider Demographics
NPI:1750338232
Name:SIRR, STEVEN A (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:A
Last Name:SIRR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1221 NICOLLET AVE
Mailing Address - Street 2:SUITE 600
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55403-2420
Mailing Address - Country:US
Mailing Address - Phone:612-573-2232
Mailing Address - Fax:612-573-2274
Practice Address - Street 1:1221 NICOLLET AVE
Practice Address - Street 2:SUITE 600
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55403-2420
Practice Address - Country:US
Practice Address - Phone:612-573-2232
Practice Address - Fax:612-573-2274
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN259072085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN23010OtherAMERICA'S PPO
MNHP14408OtherHEALTHPARTNERS
IA0524470Medicaid
MN108582OtherUCARE
MN300081873OtherRAILROAD MEDICARE MN
MN4F542SIOtherBLUE CROSS
MN200362700Medicaid
WI300029042OtherRAILROAD MEDICARE WI
WI30692800Medicaid
MN44OT6SIOtherBLUE CROSS
MN1016773OtherPREFERRED ONE
WI30692800Medicaid
MN300002989Medicare PIN
MN44OT6SIOtherBLUE CROSS
WI300029042OtherRAILROAD MEDICARE WI
MN200362700Medicaid
MN300000581Medicare PIN