Provider Demographics
NPI:1609431733
Name:DONO, ANGEL GABRIEL (MD)
Entity Type:Individual
Prefix:
First Name:ANGEL
Middle Name:GABRIEL
Last Name:DONO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 MADISON AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38103-3403
Mailing Address - Country:US
Mailing Address - Phone:901-448-5914
Mailing Address - Fax:901-448-7306
Practice Address - Street 1:910 MADISON AVE 2ND FL
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38163-9168
Practice Address - Country:US
Practice Address - Phone:901-448-5914
Practice Address - Fax:901-448-7306
Is Sole Proprietor?:No
Enumeration Date:2019-05-03
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program