Rodriguez, Angel

Rodriguez, Angel is an individual health care provider with primary practice located at 401 Alcorn Dr Ste 1A, Corinth MS 38834-9071. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Phlebology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Rodriguez, Angel can be contacted via phone (662) 665-0605.

Contact Information

Primary practice address
401 Alcorn Dr Ste 1A Corinth MS 38834-9071
Phone: (662) 665-0605
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 11295 Mississippi
Allopathic & Osteopathic Physicians / Phlebology 202K00000X 11295 Mississippi

Profile Details

NPI number 1356322051
LBN Legal business name Rodriguez, Angel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Nov 28th, 2017 - about 9 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 1356322051 NPPES
Mississippi MEDICAID 00015456

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