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Individual
DR. CARMICHAEL ANGELES
Active
Individual
DR. CARMICHAEL ANGELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
2255725
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02410768
—
NY
01
—
148301
VYTRA
NY
01
—
6X8591
EMPIRE BLUECROSS BLUESHIE
NY
01
—
P00073812
MEDICARE RAILROAD
NY
01
—
P2949859
OXFORD
NY
Enumeration date
06/30/2005
Last updated
01/03/2012
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