Provider Demographics
NPI:1508821331
Name:OLAH, EVA A (MD)
Entity Type:Individual
Prefix:DR
First Name:EVA
Middle Name:A
Last Name:OLAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:637 WEST AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06850-4004
Mailing Address - Country:US
Mailing Address - Phone:203-276-6126
Mailing Address - Fax:203-276-6128
Practice Address - Street 1:637 WEST AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06850-4004
Practice Address - Country:US
Practice Address - Phone:203-276-6126
Practice Address - Fax:203-276-6128
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT042488207V00000X, 207VG0400X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTE97450Medicare UPIN
CT001424887Medicaid
CT2V8309OtherHEALTHNET
CTE97450Medicare UPIN