Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. VAN EVANOFF JR., M.D.
ActiveDR. VAN EVANOFF JR., M.D. is a Interventional Vascular Surgery healthcare provider located in SULLIVAN, Indiana. NPI 1851394175 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · SULLIVAN, IN
Registration Details
- NPI Number
- 1851394175
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 31, 2005 (21.215443922607 yrs)
- Last Updated
- May 25, 2016
- License
-
01053652A (IN)
Practice Information
- Address
-
2204 N SECTION STSUITE BSULLIVAN, IN, 478820010Browse IN providers · Browse ZIP 47882
- Phone
- 8122682556
- Fax
- 8122682652
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.