MEDICARE: DR. JAMES EVANS M.D.

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
1	207P00000X	Emergency Medicine Physician	0101235707	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932249521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES EVANS M.D.

Provider Business Mailing Address
First Line	:	4330 E WEST HWY STE 1000
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814-4455
Country	:	US
Telephone Number	:	240-330-1062
Fax Number	:

Provider Business Practice Location Address
First Line	:	4330 E WEST HWY STE 1000
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814-4455
Country	:	US
Telephone Number	:	240-330-1062
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	07/21/2022

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