Mariash, Evan
Mariash, Evan is an sole proprietor health care provider with primary practice located at 3435 W Broadway Ave , Robbinsdale MN 55422-2969. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Mariash, Evan can be contacted via phone (763) 581-2801.Contact Information
Primary practice address
3435 W Broadway Ave
Robbinsdale MN 55422-2969
Phone: (763) 581-2801
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD13676 | Rhode Island |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | LP00959 | Rhode Island |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 59748 | Minnesota |
Profile Details
| NPI number | 1285850784 |
|---|---|
| LBN Legal business name | Mariash, Evan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2007 |
| Last updated | Apr 22nd, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285850784 | NPPES |
| Rhode Island | Other | 002186601 | MEDICARE |
| Rhode Island | Other | 1285850784 | MEDICARE |
| Rhode Island | MEDICAID | EM85188 | MEDICARE |
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