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NPI Code Detail

MEDICARE: MICHAEL A ANGELES MD

MEDICARE: MICHAEL A ANGELES MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician30628AZ
2208M00000XHospitalist Physician30628AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336120666
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL A ANGELES MD
Provider Business Mailing Address
First Line : 9225 N 3RD ST
Second Line : SUITE 300
City : PHOENIX
State : AZ
Zip : 85020-2439
Country : US
Telephone Number : 602-445-0751
Fax Number : 602-424-8128
Provider Business Practice Location Address
First Line : 7400 E THOMPSON PEAK PKWY
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85255-4109
Country : US
Telephone Number : 602-445-0751
Fax Number : 602-424-8128
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2005
Last Update Date : 05/02/2022

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