Kanellos, Angelo W
Kanellos, Angelo W is an individual health care provider with primary practice located at 10745 Double R Blvd , Reno NV 89521-8979. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Kanellos, Angelo W can be contacted via phone (775) 850-6500.Contact Information
Primary practice address
10745 Double R Blvd
Reno NV 89521-8979
Phone: (775) 850-6500
Fax: (775) 850-6501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 6421 | Nevada |
Profile Details
| NPI number | 1013008135 |
|---|---|
| LBN Legal business name | Kanellos, Angelo W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Jun 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013008135 | NPPES |
| Nevada | MEDICAID | 0020-16386 |
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