Healthcare Provider Details

I. General information

NPI: 1184875387
Provider Name (Legal Business Name): ANGELA DELANEY FREEDMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANGELA DELANEY MD

II. Dates (important events)

Enumeration Date: 10/06/2008
Last Update Date: 07/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

262 DANNY THOMAS PL
MEMPHIS TN
38105-3678
US

IV. Provider business mailing address

262 DANNY THOMAS PL # MS 515
MEMPHIS TN
38105-3678
US

V. Phone/Fax

Practice location:
  • Phone: 888-226-4343
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number248454
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License Number59503
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: