Provider Demographics
NPI:1922212703
Name:EVERING, CARLOS RUDOLPH (DO)
Entity Type:Individual
Prefix:
First Name:CARLOS
Middle Name:RUDOLPH
Last Name:EVERING
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 S CATON AVE
Mailing Address - Street 2:ANESTHESIOLOGY, S8B
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229-5201
Mailing Address - Country:US
Mailing Address - Phone:410-368-3369
Mailing Address - Fax:410-368-3369
Practice Address - Street 1:900 S CATON AVE
Practice Address - Street 2:ANESTHESIOLOGY, S8B
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-5201
Practice Address - Country:US
Practice Address - Phone:410-368-3369
Practice Address - Fax:410-368-3369
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2015-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH70599207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology