Provider Demographics
NPI:1194909622
Name:ANGHEL, TRAIAN MARIAN (MD)
Entity type:Individual
Prefix:DR
First Name:TRAIAN
Middle Name:MARIAN
Last Name:ANGHEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6700 KIRKVILLE RD
Mailing Address - Street 2:STE 203
Mailing Address - City:EAST SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13057-9313
Mailing Address - Country:US
Mailing Address - Phone:315-277-2707
Mailing Address - Fax:315-433-5100
Practice Address - Street 1:6700 KIRKVILLE RD STE 203
Practice Address - Street 2:
Practice Address - City:EAST SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13057-9313
Practice Address - Country:US
Practice Address - Phone:315-277-2707
Practice Address - Fax:315-754-0304
Is Sole Proprietor?:No
Enumeration Date:2007-12-19
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY226200207RC0000X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03104487Medicaid
NYJ400061166Medicare PIN