Individual provider · NPI-1

Dr. Evan Mariash, M.D.

Internal Medicine, Hematology & Oncology · Robbinsdale, MN

NPI number1285850784

StatusActive

Last updated in NPPESApr 22, 2021

Details

NPI: 1285850784
Entity type: Individual (NPI-1)
Name: Dr. Evan Mariash
Credential: M.D.
Sex: Male
Sole proprietor: Yes
Enumeration date: Apr 17, 2007
Certification date: Apr 22, 2021
Last updated: Apr 22, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207RH0003X	Internal Medicine, Hematology & Oncology	59748	MN	Yes
207R00000X	Internal Medicine	MD13676	RI
208M00000X	Hospitalist	LP00959	RI
390200000X	Student in an Organized Health Care Education/Training Program	–	–

Practice location

3435 W Broadway Ave
Robbinsdale, MN 55422-2969

Phone 763-581-2801

Mailing address

3435 W Broadway Ave
Robbinsdale, MN 55422-2969

Phone 763-581-2801

Other practice locations

1 Veterans Dr
Minneapolis, MN 55417

Phone 612-467-4135

420 Delaware St Se
Mmc 480
Minneapolis, MN 55455-0341

Phone 612-626-0400

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