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NPI Code Detail

MEDICARE: MARIA ANGEL MD

MEDICARE: MARIA ANGEL 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
1207Q00000XFamily Medicine Physician96961GA

General Provider Information

NPI Number : 1477180560
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA ANGEL MD
Provider Business Mailing Address
First Line : PO BOX 742616
Second Line :
City : ATLANTA
State : GA
Zip : 30374-2616
Country : US
Telephone Number : 770-219-8420
Fax Number :
Provider Business Practice Location Address
First Line : 3455 PEACHTREE RD NE FL 5
Second Line :
City : ATLANTA
State : GA
Zip : 30326-3254
Country : US
Telephone Number : 877-549-4633
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2020
Last Update Date : 08/08/2025

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