Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evan Moore, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083209670

Evan Moore, MD is a Student in an Organized Health Care Education/Training Program in Portsmouth, Virginia. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone: (577) 953-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1083209670
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 4, 2021
Last updated in NPPESMarch 18, 2021
Certification dateMarch 18, 2021

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