Doralina L. Anghelescu, MD
Individual provider Active NPI Anesthesiology Physician · Memphis, TN
NPI 1245233451 · NPPES record last updated Apr 5, 2011
Key facts
- NPI
- 1245233451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 31175 (TN)
- Practice address
- 262 Danny Thomas Place., Ms 0515
St. Jude Children'S Research Hospital
Memphis, TN 38105-3678 - Phone
- (901) 595-3006
- Fax
- (901) 595-3842
- NPI assigned
- May 23, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 31175 | TN | Yes |
Addresses
Primary practice location
262 Danny Thomas Place., Ms 0515
St. Jude Children'S Research Hospital
Memphis, TN 38105-3678
Mailing address
262 Danny Thomas Place., Ms 0515
St. Jude Children'S Research Hospital
Memphis, TN 38105-3678
Phone (901) 595-3006
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137050001 | Medicaid | AR | |
| 422400000 | Medicaid | ME | |
| 1560596 | Medicaid | LA | |
| 0149526 | Medicaid | MT | |
| 104677867 | Medicaid | MI | |
| 00120823 | Medicaid | MS | |
| 009914170 | Medicaid | AL | |
| 200377650A | Medicaid | KS | |
| 64712805 | Medicaid | KY | |
| 796500 | Medicaid | AZ | |
| 798055310A | Medicaid | GA | |
| 100249678-00 | Medicaid | NE | |
| 205026404 | Medicaid | MO | |
| 3839898 | Medicaid | TN | |
| 7611303 | Medicaid | NC | |
| 0528562 | Medicaid | IA | |
| 200239740A | Medicaid | IN |
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All providers in Memphis, TN · Anesthesiology Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.