Provider Demographics
NPI:1124185236
Name:EVANS, MICHELE KIM (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:KIM
Last Name:EVANS
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Gender:F
Credentials:MD
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Mailing Address - Street 1:5600 NATHAN SHOCK DRIVE
Mailing Address - Street 2:MAILBOX 09 NATIONAL INSTITUTE ON AGING
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-6825
Mailing Address - Country:US
Mailing Address - Phone:410-558-8573
Mailing Address - Fax:410-558-8268
Practice Address - Street 1:5600 NATHAN SHOCK DR
Practice Address - Street 2:MAILBOX 09 NATIONAL INSTITUTE ON AGING
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-6825
Practice Address - Country:US
Practice Address - Phone:410-558-8573
Practice Address - Fax:410-558-8268
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MDD0033887207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology