Individual
EVON KASHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4986 N ADAMS RD, ROCHESTER, MI 48306-5017
(248) 475-4301
Mailing address
4986 N ADAMS RD STE A, ROCHESTER, MI 48306-5017
(248) 475-4301
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5601008230
MI
363A00000X
Physician Assistant
5601008230
MI
Other
Enumeration date
07/17/2017
Last updated
07/21/2022
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