# EVAN ANTHONY MULLOY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1063875490
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 171780 | CA | — |
| 208800000X | Urology Physician | 340289 | LA | — |
| 208800000X | Urology Physician | 34075 | MS | — |
| 208800000X | Urology Physician | 42945 | OK | — |
| 208800000X | Urology Physician | 70636 | TN | — |
| 208800000X | Urology Physician | 92615 | GA | — |
| 208800000X | Urology Physician | DR.0072249 | CO | — |
| 208800000X | Urology Physician | E-17677 | AR | — |
| 208800000X | Urology Physician | ME167214 | FL | — |
| 208800000X | Urology Physician | U8100 | TX | Yes |

## Other

- **Enumeration date:** 04/02/2016
- **Last updated:** 07/30/2026