Provider Demographics
NPI:1235122177
Name:COHEN, EVAN SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:EVAN
Middle Name:SCOTT
Last Name:COHEN
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:201 SIVLEY RD SW
Mailing Address - Street 2:SUITE 300
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-5134
Mailing Address - Country:US
Mailing Address - Phone:256-533-1077
Mailing Address - Fax:256-533-3379
Practice Address - Street 1:201 SIVLEY RD SW
Practice Address - Street 2:SUITE 300
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5134
Practice Address - Country:US
Practice Address - Phone:256-533-1077
Practice Address - Fax:256-533-3379
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2007-07-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL11806208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALFO7539Medicare UPIN