| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | David A. Evanko · David Allen Evanko | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | David | [sources] | |||
| ID Number | AE1710688 · MD039206L | [sources] | |||
| Last name | Evanko | [sources] | |||
| Middle name | A. | [sources] | |||
| NPI | 1871521617 | [sources] | |||
| Sector | 207Q00000X | [sources] | |||
| Title | MD | [sources] | |||
| Position | MD | [sources] | |||
| Address | Erie, PA | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
List of providers excluded from participating in the Delaware Medicaid program.
United States · DHSS
us-medde-be0beee6895f3b33ff9836d3e304ad9b959f1925 · us-medpa-07a03c59b02b1dde87e59b33b3514f2f15159bd3For experts: raw data explorer
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| Address | ||
|---|---|---|
| Full address | Country | |
| Erie, PA | United States | |
| United States | Medicaid Sanction | - | - |