Individual
DR. EVELYN W GATHECHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5200 EASTERN AVE, MASON F LORD WEST TOWER 6TH FLOOR, BALTIMORE, MD 21224-2734
(410) 550-5018
Mailing address
5200 EASTERN AVE, MASON F LORD WEST TOWER 6TH FLOOR, BALTIMORE, MD 21224-2734
(410) 550-5018
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D72584
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046497000
—
MD
Enumeration date
09/03/2008
Last updated
02/17/2023
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