Provider Demographics
NPI:1033216866
Name:ANGLADE, PASCALE (MD)
Entity Type:Individual
Prefix:
First Name:PASCALE
Middle Name:
Last Name:ANGLADE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:300 BILLINGSLEY RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-1075
Mailing Address - Country:US
Mailing Address - Phone:704-372-7974
Mailing Address - Fax:704-372-5166
Practice Address - Street 1:1663 CAMPUS PARK DR
Practice Address - Street 2:SUITE D
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28112-5581
Practice Address - Country:US
Practice Address - Phone:704-291-2488
Practice Address - Fax:704-283-0160
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC200900168207RG0100X, 207RI0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2073265Medicare PIN