Paul Angelchik, M.D.
Individual provider Active NPI Plastic and Reconstructive Surgery Physician · Glendale, AZ
NPI 1598852006 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1598852006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Plastic and Reconstructive Surgery Physician 2086S0122X
- License
- 22382 (AZ)
- Practice address
- 18275 N 59TH Ave
Suite 170, BLDG L
Glendale, AZ 85308-1260 - Phone
- (602) 375-8888
- NPI assigned
- Oct 6, 2006
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22382 | AZ | MD | Plastic and Reconstructive Surgery Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 22382 | AZ | Yes |
Addresses
Primary practice location
18275 N 59TH Ave
Suite 170, BLDG L
Glendale, AZ 85308-1260
Mailing address
18275 N 59TH Ave
Suite 170, BLDG L
Glendale, AZ 85308-1260
Phone (602) 375-8888
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.