Provider Demographics
NPI:1972501229
Name:REGINELLI, ANGELA D (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:D
Last Name:REGINELLI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3434 PRYTANIA ST
Mailing Address - Street 2:STE 300
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-3532
Mailing Address - Country:US
Mailing Address - Phone:504-897-4425
Mailing Address - Fax:504-301-3759
Practice Address - Street 1:3434 PRYTANIA ST
Practice Address - Street 2:STE 300
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-3532
Practice Address - Country:US
Practice Address - Phone:504-897-4425
Practice Address - Fax:504-301-3759
Is Sole Proprietor?:No
Enumeration Date:2005-07-11
Last Update Date:2017-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA025525207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1556050Medicaid
LA4F808Medicare ID - Type Unspecified
LA1556050Medicaid