Angelo So Antaran is a Surgical in Ypsilanti, Michigan. Angelo So Antaran practices all healthcare services and medical treatments related to Surgical. The NPI Number for Angelo So Antaran is 1932106481. The last update date is 2007-07-09.
Angelo So Antaran's current location address is 5301 E Huron River Dr, Ypsilanti, Michigan. You can contact this provider via phone number 7347125609 and fax number 7347125797. The mailing address for Angelo So Antaran is 5301 E Huron River Dr, Ypsilanti, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angelo So Antaran |
|---|---|
| Address | 5301 E Huron River Dr, Ypsilanti, Michigan |
| Phone Number | 7347125609 |
| Fax Number | 7347125797 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1932106481 |
|---|---|
| Provider Enumeration Date | 2005-06-30 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 5301 E Huron River Dr |
|---|---|
| City | Ypsilanti |
| State | Michigan (MI) |
| Post Code | 481971051 |
| Phone Number | 7347125609 |
| Fax Number | 7347125797 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 5601003519 |
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Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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What is the Angelo So Antaran's 1932106481?
The Angelo So Antaran's NPI (National Provider Identifier) Number is 1932106481. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
What is the Angelo So Antaran's specialty and taxonomy code?
The Angelo So Antaran's specialty is Surgical, and the corresponding taxonomy code is 363As0400X.
When was the Angelo So Antaran's 1932106481 issued?
The Angelo So Antaran's 1932106481 was issued on 2005-06-30.
On what date did the Centers for Medicare & Medicaid Services issue the 1932106481 to Angelo So Antaran?
The Angelo So Antaran received its 1932106481 assignment from the Centers for Medicare & Medicaid Services on 2005-06-30.
When was the Angelo So Antaran's information last updated?
The Angelo So Antaran's information was last updated on 2007-07-09.