Provider Demographics
NPI:1083962450
Name:ANGELELLI, CRISTIANA LAVINIA I (MD)
Entity Type:Individual
Prefix:DR
First Name:CRISTIANA
Middle Name:LAVINIA
Last Name:ANGELELLI
Suffix:I
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:211 E 7TH ST STE 700
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-3218
Mailing Address - Country:US
Mailing Address - Phone:126-740-6705
Mailing Address - Fax:
Practice Address - Street 1:500 W WILLIAM CANNON DR STE 400
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-5879
Practice Address - Country:US
Practice Address - Phone:512-674-0670
Practice Address - Fax:737-707-3908
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-16
Last Update Date:2023-06-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXQ4557207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine