Dr. Ever Ivan Ponciano, M.D.
Internal Medicine in Hagerstown, MD. Individual provider (NPI-1).
NPI number1750572012
StatusActive
Last updated in NPPESJun 24, 2020
Details
- NPI
- 1750572012
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ever Ivan Ponciano
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2007
- Certification date
- Jun 24, 2020
- Last updated
- Jun 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | D83234 | MD | Yes |
| 207R00000X | Internal Medicine | 0434380 | KS | |
| 390200000X | Student in an Organized Health Care Education/Training Program | MT191689 | PA |
Practice location
354 Mill StHagerstown, MD 21740-6138
Phone 301-797-0210
Mailing address
354 Mill StHagerstown, MD 21740-6138
Phone 301-797-0210
Other practice locations
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