Provider Demographics
NPI:1154379857
Name:PAAS, ANGELA S (MD)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:S
Last Name:PAAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:H
Other - Last Name:SWYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1595 KENNESAW DUE WEST RD NW STE 100
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30152-7640
Mailing Address - Country:US
Mailing Address - Phone:470-308-3365
Mailing Address - Fax:770-627-5228
Practice Address - Street 1:1595 KENNESAW DUE WEST RD NW STE 100
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30152-7640
Practice Address - Country:US
Practice Address - Phone:470-308-3365
Practice Address - Fax:770-627-5228
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA053038207V00000X
IN01061656A207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200810250Medicaid
INH88384Medicare UPIN
IN677690OMedicare PIN