Mindy Evangelisti in Philadelphia - Medical

Mindy Evangelisti - NPI 1083893218

Mindy Evangelisti is a Medical in Philadelphia, Pennsylvania. Mindy Evangelisti practices all healthcare services and medical treatments related to Medical. The NPI Number for Mindy Evangelisti is 1083893218. The last update date is 2021-04-16.

Mindy Evangelisti's current location address is 2450 W Hunting Park Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2157072433. The mailing address for Mindy Evangelisti is 2450 W Hunting Park Ave, Philadelphia, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Mindy Evangelisti
Address 2450 W Hunting Park Ave, Philadelphia, Pennsylvania
Phone Number 2157072433
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1083893218
Provider Enumeration Date 2007-10-24
Last Updated Date 2021-04-16

Provider Mailing Address Detail

Address 2450 W Hunting Park Ave
City Philadelphia
State Pennsylvania (PA)
Post Code 191291302
Phone Number 2157072433
Fax Number

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 2470
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
87588820 CO MEDICAID GROUP NUMBER
C810776 CO MEDICAID GROUP NUMBER
C810212 CO MEDICARE GROUP NUMBER
50307711 CO --
51858754 CO MEDICAID GROUP NUMBER

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FAQs about Mindy Evangelisti

What is the Mindy Evangelisti's unique identification number?

The Mindy Evangelisti has been assigned the NPI (National Provider Identifier) Number 1083893218 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Mindy Evangelisti is physically located?

The Mindy Evangelisti is situated at the following address: 2450 W Hunting Park Ave, Philadelphia, PA 191291302.

What is Mindy Evangelisti's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Mindy Evangelisti is Medical, and the taxonomy code that classifies this field of practice is 363Am0700X.

On what date did Mindy Evangelisti receive its 1083893218 assignment from the Centers for Medicare & Medicaid Services?

The Mindy Evangelisti was assigned its 1083893218 on 2007-10-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Mindy Evangelisti most recently updated?

The details pertaining to the Mindy Evangelisti, including its address, specialty, and other relevant information, were last refreshed on 2021-04-16.

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