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NPI Code Detail

MEDICARE: EVELYN ALACANTARA SEVILLA MD

MEDICARE:   EVELYN ALACANTARA SEVILLA  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0400XNeurology PhysicianMD0000018516TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10081829OTHERBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1720017387
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVELYN ALACANTARA SEVILLA MD
Provider Business Mailing Address
First Line : 9217 PARK WEST BLVD
Second Line : SUITE A3
City : KNOXVILLE
State : TN
Zip : 37923-4404
Country : US
Telephone Number : 865-531-2151
Fax Number : 865-691-3464
Provider Business Practice Location Address
First Line : 9217 PARK WEST BLVD
Second Line : SUITE A3
City : KNOXVILLE
State : TN
Zip : 37923-4404
Country : US
Telephone Number : 865-531-2151
Fax Number : 865-691-3464
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2006
Last Update Date : 07/08/2007

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Directions to “ EVELYN ALACANTARA SEVILLA MD” Practice Location

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