Individual
ANGEL L VILLANUEVA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4770 INDIANOLA AVE STE 107, COLUMBUS, OH 43214-1862
(614) 371-2303
(800) 905-9950
Mailing address
4770 INDIANOLA AVE STE 107, COLUMBUS, OH 43214-1862
(614) 371-2303
(800) 905-9950
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.041340
OH
2084P0800X
Psychiatry Physician
Primary
35.041340
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0340590
—
OH
Enumeration date
06/06/2006
Last updated
11/19/2025
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