Healthcare Provider Details

I. General information

NPI: 1265827422
Provider Name (Legal Business Name): IOANNIS ANGELIDIS M.D., M.S.P.H.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2015
Last Update Date: 02/06/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 LOTHROP ST
PITTSBURGH PA
15213-2582
US

IV. Provider business mailing address

200 LOTHROP ST
PITTSBURGH PA
15213-2582
US

V. Phone/Fax

Practice location:
  • Phone: 412-647-2345
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License NumberMD485432
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: