Individual
EVANDRO D BEZERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
460 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-3196
(614) 293-7526
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-3196
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ML60654966
WA
207RH0000X
Hematology (Internal Medicine) Physician
Primary
35.145285
OH
207RH0003X
Hematology & Oncology Physician
65153
MN
207RH0003X
Hematology & Oncology Physician
FE60449483
WA
Other
Enumeration date
03/25/2014
Last updated
01/10/2024
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