Provider Demographics
NPI:1093861221
Name:HOEHN-SARIC, EVANNE LOH (MD)
Entity Type:Individual
Prefix:DR
First Name:EVANNE
Middle Name:LOH
Last Name:HOEHN-SARIC
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:703 SKYWATER RD
Mailing Address - Street 2:
Mailing Address - City:GIBSON ISLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21056-0686
Mailing Address - Country:US
Mailing Address - Phone:410-439-9671
Mailing Address - Fax:410-439-9671
Practice Address - Street 1:2700 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21227-3115
Practice Address - Country:US
Practice Address - Phone:410-368-3984
Practice Address - Fax:410-536-0636
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD00238712084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDB-70388Medicare UPIN