Provider Demographics
NPI:1144205865
Name:EVERSLEY, STEVEN H (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:H
Last Name:EVERSLEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4801 DORSEY HALL DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-7766
Mailing Address - Country:US
Mailing Address - Phone:410-997-7660
Mailing Address - Fax:410-997-9943
Practice Address - Street 1:4801 DORSEY HALL DR
Practice Address - Street 2:SUITE 201
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-7766
Practice Address - Country:US
Practice Address - Phone:410-997-7660
Practice Address - Fax:410-997-9943
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2015-06-25
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Provider Licenses
StateLicense IDTaxonomies
MDD0050776207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD392200ZJKVMedicare PIN