Active NPI
Teodoro R Carangal Reyes Carangal, M.D.
- Gynecology Physician
- Timonium, MD
National Provider Identifier
1437267325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- D0014927
- Practice address
- 2404 Girdwood Rd
Timonium, MD 21093-2635 - Phone
- (410) 252-2863
- Fax
- (410) 252-2863
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | D0014927 | MD | Primary |
Addresses
Primary practice location
2404 Girdwood Rd
Timonium, MD 21093-2635
Mailing address
2404 Girdwood Rd
Timonium, MD 21093-2635
Phone (410) 252-2863
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05627100 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0014927 | MD | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437267325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2404 GIRDWOOD RD",
"city": "TIMONIUM",
"state": "MD",
"postal_code": "210932635",
"telephone_number": "410-252-2863",
"fax_number": "410-252-2863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2404 GIRDWOOD RD",
"city": "TIMONIUM",
"state": "MD",
"postal_code": "210932635",
"telephone_number": "410-252-2863",
"fax_number": "410-252-2863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARANGAL",
"first_name": "TEODORO R CARANGAL",
"middle_name": "REYES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "MD",
"license": "D0014927",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05627100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Timonium, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.