Provider Demographics
NPI:1508952508
Name:MENTARI, EVELYN (MD)
Entity Type:Individual
Prefix:DR
First Name:EVELYN
Middle Name:
Last Name:MENTARI
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 1:10903 NEW HAMPSHIRE AVENUE
Mailing Address - Street 2:HFD-120
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20993
Mailing Address - Country:US
Mailing Address - Phone:301-796-2279
Mailing Address - Fax:301-796-9838
Practice Address - Street 1:10903 NEW HAMPSHIRE AVENUE
Practice Address - Street 2:HFD-120
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20993
Practice Address - Country:US
Practice Address - Phone:301-796-2279
Practice Address - Fax:301-796-9838
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2024-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.083187207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology