Provider Demographics
NPI:1912999145
Name:EVANS, CYNTHIA K (MD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:K
Last Name:EVANS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2580 HAYMAKER RD
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-3518
Mailing Address - Country:US
Mailing Address - Phone:412-373-4411
Mailing Address - Fax:412-373-4677
Practice Address - Street 1:2580 HAYMAKER RD
Practice Address - Street 2:SUITE 404
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-3518
Practice Address - Country:US
Practice Address - Phone:412-373-4411
Practice Address - Fax:412-373-4677
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD042601E207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001407750Medicaid
PA549071SDBMedicare PIN
PAF47693Medicare UPIN