Provider Demographics
NPI:1275697286
Name:LOUIE, ANGELA KAY (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:KAY
Last Name:LOUIE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3535 WEDDINGTON OAKS
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28104-9542
Mailing Address - Country:US
Mailing Address - Phone:201-674-4696
Mailing Address - Fax:919-573-9696
Practice Address - Street 1:6845 FAIRVIEW RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-3363
Practice Address - Country:US
Practice Address - Phone:980-819-1807
Practice Address - Fax:919-573-9696
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2022-02-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA080285002084P0800X
NC2007-018262084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC232009OtherPTAN MEDICARE GROUP
NC2007-01826OtherSTATE MEDICAL LICENSE