Provider Demographics
NPI:1083785174
Name:KLASS, EVAN MITCHELL (MD)
Entity Type:Individual
Prefix:DR
First Name:EVAN
Middle Name:MITCHELL
Last Name:KLASS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:401 W 2ND ST
Mailing Address - Street 2:235D
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-5345
Mailing Address - Country:US
Mailing Address - Phone:775-682-8175
Mailing Address - Fax:775-327-2006
Practice Address - Street 1:1664 N VIRGINIA ST
Practice Address - Street 2:MS / 153
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89557-0001
Practice Address - Country:US
Practice Address - Phone:775-784-4474
Practice Address - Fax:775-784-4468
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2016-11-29
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Provider Licenses
StateLicense IDTaxonomies
NY131486207RE0101X
NV12641207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV106010Medicare PIN
NVB17748Medicare UPIN