Provider Demographics
NPI:1699003509
Name:HIRA, ANGELA (DO)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:
Last Name:HIRA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:
Other - Last Name:SINGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:3100 BLUE RIDGE RD
Mailing Address - Street 2:3000
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-8036
Mailing Address - Country:US
Mailing Address - Phone:919-781-7515
Mailing Address - Fax:919-714-6010
Practice Address - Street 1:3100 BLUE RIDGE RD
Practice Address - Street 2:3000
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-8036
Practice Address - Country:US
Practice Address - Phone:919-781-7515
Practice Address - Fax:919-714-6010
Is Sole Proprietor?:No
Enumeration Date:2009-12-04
Last Update Date:2015-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2015-01556207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0435Medicare PIN