Individual
GIA ANN DEANGELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1215 LEE ST FL 1, CHARLOTTESVILLE, VA 22908-0816
(434) 924-2781
(434) 982-1618
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
0101047159
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007266481
—
VA
01
—
300036020
RR MEDICARE
VA
Enumeration date
01/09/2007
Last updated
04/10/2017
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