Manansala, Angela Gloria

Manansala, Angela Gloria is an individual health care provider with primary practice located at 5861 N Oracle Rd , Tucson AZ 85704-3813. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Manansala, Angela Gloria can be contacted via phone (520) 293-6686.

Contact Information

Primary practice address
5861 N Oracle Rd Tucson AZ 85704-3813
Phone: (520) 293-6686
Fax: (520) 887-1736
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 4301063450 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 42024 Arizona

Profile Details

NPI number 1144259391
LBN Legal business name Manansala, Angela Gloria
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2006
Last updated May 2nd, 2013 - about 11 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 1144259391 NPPES
Michigan Other AM063450 BC/BS OF MICHIGAN
Michigan Other 436721 BC/BS OF MICHIGAN
Michigan MEDICAID 104322316 BC/BS OF MICHIGAN
Michigan MEDICAID 436721 BC/BS OF MICHIGAN

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