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NPI Code Detail

MEDICARE: DR. ANGELA M. BURT M.D.

MEDICARE: DR. ANGELA M. BURT M.D.
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
12084P0800XPsychiatry Physician11679NV
22084P0800XPsychiatry PhysicianA93897CA

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 : 1992890222
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANGELA M. BURT M.D.
Provider Business Mailing Address
First Line : 210 BARONNE ST APT 1211
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70112-1750
Country : US
Telephone Number : 707-755-1148
Fax Number :
Provider Business Practice Location Address
First Line : 3947 LENNANE DR STE 110
Second Line :
City : SACRAMENTO
State : CA
Zip : 95834-1971
Country : US
Telephone Number : 916-283-8280
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 10/26/2023

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