ALAN EVANTASH MD NPI 1730149873

NPI Information

NPI: 1730149873
Provider Name: ALAN EVANTASH, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
4755 OGLETOWN STANTON RD
DEPARTMENT OF RADIOLOGY
NEWARK, DE
ZIP 19718
Phone: (302) 733-1806
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Alan Evantash, MD is a diagnostic radiology radiology in Newark, DE. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Alan Evantash, MD NPI is 1730149873. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4755 OGLETOWN STANTON RD
DEPARTMENT OF RADIOLOGY
NEWARK, DE
ZIP 19718-200
Phone: (302) 733-1806
Fax: (302) 733-1808

The enumeration date for this NPI number is 3/24/2006 and was last updated on 2/7/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	C1-0D00763	DELAWARE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	B66460	MEDICARE UPIN
2	121725X70	MEDICARE PIN	DELAWARE
3	300027144	OTHER		RAILROAD MEDICARE #
4	0000111001	MEDICAID	DELAWARE
5	121725X32	MEDICARE PIN	DELAWARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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