# ANGELINO S YSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1336193465
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 27613 | KY | Yes |

## Other

- **Enumeration date:** 05/22/2006
- **Last updated:** 12/01/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000575262 | ANTHEM - NCMA | KY |
| 01 | — | 000000614192 | ANTHEM - NMA | KY |
| 01 | — | 000023033Q | HUMANA | KY |
| 01 | — | 00533053 | MEDICARE - KY - NMA | KY |
| 01 | — | 097760 | SIHO | KY |
| 01 | — | 0994672 | CIGNA - NMA | KY |
| 01 | — | 200035830 | MEDICAID-IN - NMA | IN |
| 05 | — | 2432738000 | — | KY |
| 01 | — | 3534949000 | PASSPORT ADVTG - NMA | KY |
| 01 | — | 3759061000 | PASSPORT ADVTG - NCMA | KY |
| 01 | — | 50027043 | PASSPORT - NCMA | KY |
| 01 | — | 5020165 | PASSPORT - NMA | KY |
| 01 | — | 64276132 | MEDICAID-KY - NMA | KY |
| 05 | — | 64276132 | — | KY |
| 01 | — | P00655716 | RAILROAD MCR - NMA | KY |