Angela Anderson, M.D.

Individual Deactivated
NPI 1891930913
General Practice Physician Gary, IN

Angela Anderson, M.D. holds NPI 1891930913, with a primary taxonomy of general practice physician and a practice location in Gary, IN. The number was issued on December 3, 2008 and the NPPES record was last updated on August 9, 2026. This NPI was deactivated on September 24, 2026.

Taxonomies and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X 01037923A (IN)

Practice location

2353 Madison Street
Gary, IN 46407
Phone: (219) 885-1608

Nearby providers with the same primary taxonomy

Record history

Name on record
Ms. Angela Juanita Anderson
Status
Deactivated
NPI issued
Last updated in NPPES
Deactivated

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NPPES data as of · Source: CMS NPPES

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