Individual
DR. JARED LEE ANTEVIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4650 TAYLOR RD BLDG 17A, BETHESDA, MD 20889-5638
(757) 752-4999
Mailing address
4650 TAYLOR RD BLDG 17A, BETHESDA, MD 20889-5638
(757) 752-4999
(202) 745-8293
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
0101246647
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871578534
—
VA
Enumeration date
12/14/2005
Last updated
12/26/2025
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