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1508029356

NPI Code Detail

MEDICARE: SAMUEL K EVANS MD

MEDICARE: SAMUEL K EVANS 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
1	207R00000X	Internal Medicine Physician	MD13665	RI
2	207RP1001X	Pulmonary Disease Physician	282310	MA
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	MD13665	RI
4	207RP1001X	Pulmonary Disease Physician	MD13665	RI
5	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	282310	MA

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	:	1508029356
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMUEL K EVANS MD

Provider Business Mailing Address
First Line	:	170 DRAPER AVE
Second Line	:
City	:	NORTH ATTLEBORO
State	:	MA
Zip	:	02760-3670
Country	:	US
Telephone Number	:	508-699-6165
Fax Number	:	508-342-1944

Provider Business Practice Location Address
First Line	:	170 DRAPER AVE
Second Line	:
City	:	NORTH ATTLEBORO
State	:	MA
Zip	:	02760-3604
Country	:	US
Telephone Number	:	508-699-6165
Fax Number	:	508-342-1944

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

Provider Enumeration Date	:	07/02/2008
Last Update Date	:	03/05/2026

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Directions to “ SAMUEL K EVANS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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