Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 53541 | MN |
NPI | 1013963768 |
---|---|
Provider Name | Dr. Angala B Borders-Robinson |
First Address | Minneapolis, MN 55407-1544 |
Second Address | Minneapolis, MN 55407-1544 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2006 |
Last Update Date | 03/01/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0500011 | PHYSICIANS HEALTH PLAN (01) | MI |
0570033 | PHP MCA (01) | MI |
130023121 | RAILROAD MEDICARE (01) | MI |
135780023 | BCBS PROVIDER NUMBER (01) | MI |
1357800235 | BLUE CARE NETWORK (01) | MI |
38262737007 | CHAMPUS (01) | MI |
383553974 | COMMERCIAL INSURANCE (01) | MI |
424892511 | (05) | MI |
4B84119 | HPM (01) | MI |
561246 | SELECT CARE (01) | MI |
C5483 | MCARE (01) | MI |
F38759 | (02) | MI |