Evantash, Alan

Evantash, Alan is an individual health care provider with primary practice located at 4755 Ogletown Stanton Rd Department Of Radiology, Newark DE 19718-2200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Evantash, Alan can be contacted via phone (302) 733-1806.

Contact Information

Primary practice address
4755 Ogletown Stanton Rd Department Of Radiology Newark DE 19718-2200
Phone: (302) 733-1806
Fax: (302) 733-1808
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X C1-0D00763 Delaware

Profile Details

NPI number 1730149873
LBN Legal business name Evantash, Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Feb 7th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730149873 NPPES
Delaware MEDICAID 0000111001
Delaware Other 300027144

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