1013963768 NPI number — DR. ANGALA B BORDERS-ROBINSON DO

Table of content: DR. ANGALA B BORDERS-ROBINSON DO (NPI 1013963768)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013963768 NPI number — DR. ANGALA B BORDERS-ROBINSON DO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BORDERS-ROBINSON
Provider First Name:
ANGALA
Provider Middle Name:
B
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DO
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1013963768
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/12/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4677 TOWNE CENTRE MEDICAL ARTS 3 # 105
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAGINAW
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48604
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
989-583-3150
Provider Business Mailing Address Fax Number:
989-583-1873

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4677 TOWNE CENTRE MEDICAL ARTS 3 # 105
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAGINAW
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48604
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
989-583-3150
Provider Business Practice Location Address Fax Number:
989-583-1873
Provider Enumeration Date:
05/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084N0400X , with the licence number:  5101011356 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0570033 . This is a "PHP MCA" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 383553974 . This is a "COMMERCIAL INSURANCE" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 135780023 . This is a "BCBS PROVIDER NUMBER" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 130023121 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 4B84119 . This is a "HPM" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 424892511 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1357800235 . This is a "BLUE CARE NETWORK" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 561246 . This is a "SELECT CARE" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: C5483 . This is a "MCARE" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 0500011 . This is a "PHYSICIANS HEALTH PLAN" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 38262737007 . This is a "CHAMPUS" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".




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