Individual
EVAN L DVORIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4747
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4747
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
232540
MA
207R00000X
Internal Medicine Physician
Primary
MD.205481
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08103831
—
MS
05
—
2197479
—
LA
Enumeration date
01/25/2007
Last updated
01/08/2013
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