Individual
DR. RICHARD JOHN YEVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2372
(704) 355-6692
Mailing address
509 BILTMORE AVE, ASHEVILLE, NC 28801-4601
(828) 213-2250
(828) 213-2395
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
38873
NC
207L00000X
Anesthesiology Physician
88747
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8989628
—
NC
01
—
N38873
MEDICAID
SC
01
—
SCO7075019
MEDICARE PIN
SC
Enumeration date
10/10/2005
Last updated
05/17/2024
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