Individual
DR. GEORGE H EVANCHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
632 CEDAR RD, SUITE B, CHESAPEAKE, VA 23322-8376
(757) 547-0123
(757) 547-2412
Mailing address
632 CEDAR RD, SUITE B, CHESAPEAKE, VA 23322-8376
(757) 547-0123
(757) 547-2412
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103000375
VA
213E00000X
Podiatrist
179
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
211329
MAMSI
VA
01
—
358171
ANTHEM
VA
01
—
480017876
MEDICARE RAILROAD
VA
01
—
52487
OPTIMA
VA
Enumeration date
07/20/2005
Last updated
12/03/2009
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