Provider Demographics
NPI:1528563251
Name:POHL, EVAN CHRISTOPHER (MD)
Entity Type:Individual
Prefix:DR
First Name:EVAN
Middle Name:CHRISTOPHER
Last Name:POHL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1041 MAGNOLIA ST
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-4338
Mailing Address - Country:US
Mailing Address - Phone:859-433-0025
Mailing Address - Fax:
Practice Address - Street 1:1041 MAGNOLIA ST
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-4338
Practice Address - Country:US
Practice Address - Phone:859-433-0025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-26
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2023-005212085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology