Provider Demographics
NPI:1477529733
Name:SZANTO, EVYE G (MD)
Entity Type:Individual
Prefix:
First Name:EVYE
Middle Name:G
Last Name:SZANTO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:345 HICKORY ST
Mailing Address - Street 2:
Mailing Address - City:RED BLUFF
Mailing Address - State:CA
Mailing Address - Zip Code:96080-2702
Mailing Address - Country:US
Mailing Address - Phone:530-529-4733
Mailing Address - Fax:530-529-1842
Practice Address - Street 1:345 HICKORY ST
Practice Address - Street 2:
Practice Address - City:RED BLUFF
Practice Address - State:CA
Practice Address - Zip Code:96080-2702
Practice Address - Country:US
Practice Address - Phone:530-529-4733
Practice Address - Fax:530-529-1842
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG6257902084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G625790Medicaid
CA00G625790Medicaid
CA00G625790Medicare ID - Type Unspecified