Individual
CHRIS ANGGELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3950 KRESGE WAY STE 303, LOUISVILLE, KY 40207-4637
(502) 928-0900
(502) 928-0901
Mailing address
2700 STANLEY GAULT PKWY STE 129, LOUISVILLE, KY 40223-5176
(502) 489-6613
(502) 489-5751
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
27228
KY
207RI0011X
Interventional Cardiology Physician
Primary
27228
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64272289
—
KY
Enumeration date
12/14/2005
Last updated
12/09/2020
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