Provider Demographics
NPI:1992899694
Name:PANGARO, LOUIS NICHOLAS (MD)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:NICHOLAS
Last Name:PANGARO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9606 CARRIAGE ROAD
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895
Mailing Address - Country:US
Mailing Address - Phone:202-782-4923
Mailing Address - Fax:202-782-7363
Practice Address - Street 1:WALTER REED ARMY MEDICAL CENTER
Practice Address - Street 2:6900 GEORGIA AVE
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20307-5001
Practice Address - Country:US
Practice Address - Phone:202-782-4923
Practice Address - Fax:202-782-7363
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0017261207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism