Evan Los
EVAN LOS, M.D. | Pediatric Endocrinology | Male
Evan Los, EVAN LOS, M.D. is a Johnson City, Tennessee based Pediatric doctor with medical specialization in
Pediatric Endocrinology.
Current practice location of Evan Los is
408 N State Of Franklin Rd, Suite 31b, Johnson City, Tennessee - 37604-6089. He can be contacted on phone at
423-431-4946 and fax number 423-431-4947.
Evan Los is a sole proprietor of his business.
NPI number (Unique professional ID) for Evan Los is
1174842348 which was assigned by NPPES on 26 May, 2010 and it was last updated on 15 Feb, 2017.
Evan Los license number is
54336 for Pediatrics Pediatric Endocrinology (2080P0205X) in Tennessee.
Evan Los provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Complete Profile:
Evan Los basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Endocrinology |
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| Provider Name : | Evan Los |
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| Credential : | EVAN LOS, M.D. |
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| Gender : | Male |
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Business Address:
Evan Los address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 408 N State Of Franklin Rd, Suite 31b
Johnson City, TN, 37604-6089
United States |
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| Phone Number : | 423-431-4946 |
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| Fax Number : | 423-431-4947 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1174842348 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 26 May, 2010 |
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| Last Updated On : | 15 Feb, 2017 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Evan Los are as mentioned. Primary taxonomy code for Evan Los, EVAN LOS, M.D. is
2080P0205X (Pediatrics Pediatric Endocrinology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 54336 | TN |
| 208000000X | Pediatrics | No | MD163055 | OR |
| 2080P0205X | Pediatrics Pediatric Endocrinology | Yes | 54336 | TN |
Legacy Identifiers:
Other legacy medical identifiers of Evan Los such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1174842348 | MEDICAID | VA | |
| Q022585 | MEDICAID | TN | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 408 N State Of Franklin Rd, Suite 31b
Johnson City, TN, 37604-6089
United States |
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| Phone Number : | 423-431-4946 |
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| Fax Number : | 423-431-4947 |
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Business Location:
Patients can refer following map for directions to
Evan Los practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.