Provider Demographics
NPI:1043335425
Name:CANAGARAJAH, ANGELINE G (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:ANGELINE
Middle Name:G
Last Name:CANAGARAJAH
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4715 BRIGHTWOOD RD
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-1828
Mailing Address - Country:US
Mailing Address - Phone:301-260-8201
Mailing Address - Fax:
Practice Address - Street 1:12200 ROCKVILLE PIKE
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-1608
Practice Address - Country:US
Practice Address - Phone:301-881-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0063678208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics