Provider Demographics
NPI:1679381594
Name:POPADAK, ANGEL
Entity type:Individual
Prefix:
First Name:ANGEL
Middle Name:
Last Name:POPADAK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2345 FILLINGHAM RD
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:OH
Mailing Address - Zip Code:44085-9606
Mailing Address - Country:US
Mailing Address - Phone:440-223-7811
Mailing Address - Fax:
Practice Address - Street 1:2345 FILLINGHAM RD
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:OH
Practice Address - Zip Code:44085-9606
Practice Address - Country:US
Practice Address - Phone:440-223-7811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-23
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No376J00000XNursing Service Related ProvidersHomemaker