Provider Demographics
NPI:1427026335
Name:MICHAEL A ANGELES, MD, PC
Entity Type:Organization
Organization Name:MICHAEL A ANGELES, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:ANGELES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-998-4499
Mailing Address - Street 1:11000 N SCOTTSDALE RD
Mailing Address - Street 2:SUITE 135
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-5270
Mailing Address - Country:US
Mailing Address - Phone:480-998-4499
Mailing Address - Fax:480-998-4497
Practice Address - Street 1:11000 N SCOTTSDALE RD
Practice Address - Street 2:SUITE 135
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-5270
Practice Address - Country:US
Practice Address - Phone:480-998-4499
Practice Address - Fax:480-998-4497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-08
Last Update Date:2011-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZH63951Medicare UPIN
AZZ106621Medicare PIN