Physician Compare National (NPI:1831123066)

HEALTHCARE PROVIDER: OLGA EVDOS MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1831123066
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3375535958
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040401001686
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	EVDOS
	Individual professional last name
Provider First Name	OLGA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	NEW YORK MEDICAL COLLEGE
	Individual professional's medical school
Graduation Year	1998
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4401 NEWTOWN RD
	Group Practice or individual's line 1 address
City	ASTORIA
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	111032224
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7187282555
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y