Provider Demographics
NPI:1760476907
Name:SANTINI, ANGELA M (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:M
Last Name:SANTINI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:19450 DEERFIELD AVE
Mailing Address - Street 2:STE 175
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-8425
Mailing Address - Country:US
Mailing Address - Phone:703-383-9543
Mailing Address - Fax:703-383-9532
Practice Address - Street 1:19450 DEERFIELD AVE
Practice Address - Street 2:175
Practice Address - City:LANSDOWNE
Practice Address - State:VA
Practice Address - Zip Code:20176-6820
Practice Address - Country:US
Practice Address - Phone:703-858-5454
Practice Address - Fax:703-858-4650
Is Sole Proprietor?:No
Enumeration Date:2005-09-02
Last Update Date:2020-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101052497207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6405703Medicaid
VA6405703Medicaid
G10402Medicare UPIN