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Individual
SUSANNA G. EVANS
Active
Individual
SUSANNA G. EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD417655
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018995940001
—
PA
01
—
0189959402
AMERICHOICE (UHC MA PLAN)
PA
01
—
080191559
RRM
PA
01
—
10926381
CAQH ID#
PA
01
—
1163241
KEYSTONE MERCY
PA
01
—
1419348
HIGHMARK BLUE SHIELD
PA
01
—
17713-MD417655
HEALTH PARTNERS
PA
01
—
2105709000
IBC - PC/KHPE
PA
01
—
2999717
AETNA HMO
PA
01
—
4641104
AETNA PPO
PA
01
—
8649657
CIGNA HMO/PPO
PA
Enumeration date
06/07/2006
Last updated
08/30/2016
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