Provider Demographics
NPI:1669442331
Name:EVANS, STEVEN D (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:D
Last Name:EVANS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1930 VILLAGE CENTER CIRCLE
Mailing Address - Street 2:SUITE #3-999
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89134
Mailing Address - Country:US
Mailing Address - Phone:702-438-3400
Mailing Address - Fax:702-294-0700
Practice Address - Street 1:1930 VILLAGE CENTER CIRCLE
Practice Address - Street 2:SUITE #3-999
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89134
Practice Address - Country:US
Practice Address - Phone:702-438-3400
Practice Address - Fax:702-294-0700
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-25
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6749207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV2019437Medicaid
NV30412Medicaid
CAXPY202882OtherCALIFORNIA MEDICAID
OH2883867Medicaid
AZ323626OtherAHCCCS
NV30412Medicaid
OH2883867Medicaid
NV2019437Medicaid