Healthcare Provider Details

I. General information

NPI: 1740236405
Provider Name (Legal Business Name): ANGELO S FERRARO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 08/26/2020
Certification Date: 08/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 W 7TH AVE SUITE 310
SPOKANE WA
99204-2349
US

IV. Provider business mailing address

122 W 7TH AVE SUITE 310
SPOKANE WA
99204-2349
US

V. Phone/Fax

Practice location:
  • Phone: 509-838-7711
  • Fax: 509-747-4664
Mailing address:
  • Phone: 509-838-7711
  • Fax: 509-747-4664

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD31032
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberM6726
License Number StateID
# 3
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD28849
License Number StateOR
# 4
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberM6726
License Number StateID
# 5
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberMD28849
License Number StateOR
# 6
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD00031032
License Number StateWA
# 7
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberMD28849
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: