Provider Demographics
NPI:1376581744
Name:ENGELS, EMIL D (MD)
Entity Type:Individual
Prefix:DR
First Name:EMIL
Middle Name:D
Last Name:ENGELS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3100 SPRING FOREST RD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-2880
Mailing Address - Country:US
Mailing Address - Phone:919-882-0705
Mailing Address - Fax:919-873-9821
Practice Address - Street 1:3300 GALLOWS RD
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-3307
Practice Address - Country:US
Practice Address - Phone:703-776-3138
Practice Address - Fax:703-776-2623
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2017-12-04
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Provider Licenses
StateLicense IDTaxonomies
VA0101058867207L00000X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV5700338000Medicaid
MD427900000Medicaid
VA1376581744Medicaid
VA00X751F17Medicare PIN
DC003066F54Medicare PIN