Individual
DR. ANGELO W KANELLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10745 DOUBLE R BLVD, RENO, NV 89521-8979
(775) 850-6500
(775) 850-6501
Mailing address
5560 KIETZKE LN, BLDG A, RENO, NV 89511-3019
(775) 322-7811
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
6421
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0020-16386
—
NV
Enumeration date
09/27/2006
Last updated
06/22/2020
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