Organization
RENAL PHYSICIANS GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN E ANGELO M.D. (OWNER)
(985) 705-3979
Entity
Organization
Contact information
Practice address
397 HIGHWAY 21, STE 601, MADISONVILLE, LA 70447-3407
(985) 845-9000
(985) 845-9003
Mailing address
76409 CROCKETT RD, FOLSOM, LA 70437-3718
(985) 705-9020
(844) 272-9196
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
014342
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1314650
—
LA
Enumeration date
04/13/2007
Last updated
02/20/2023
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