Granata, Angela Marie

Granata, Angela Marie is an individual health care provider with primary practice located at 10105 Banburry Cross Dr Ste 445 , Las Vegas NV 89144-6645. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Granata, Angela Marie can be contacted via phone (702) 765-0884.

Contact Information

Primary practice address
10105 Banburry Cross Dr Ste 445 Las Vegas NV 89144-6645
Phone: (702) 765-0884
Fax: (702) 765-0862
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 2007 Nevada

Profile Details

NPI number 1669739827
LBN Legal business name Granata, Angela Marie
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2012
Last updated Mar 17th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669739827 NPPES
Nevada MEDICAID 1669739827

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