Dr. Paul Anthony Angaran – Internist / Geriatrician | Toronto, ON

With extensive experience in Internal Medicine and Geriatric Care, Dr. Paul Anthony Angaran serves as a trusted medical specialist. Practicing in Toronto, ON, he provides comprehensive care in Internal Medicine and Geriatric Care. His practice is committed to adhering to the standards and ethical guidelines established by the College of Physicians and Surgeons of Ontario (CPSO). Dr. Angaran primarily serves adult patients, including older adults and seniors, ensuring personalized management of complex health issues within a holistic approach.

Dr. Angaran graduated with a Medical Degree from the University of Toronto in 2004 and has completed extensive post-graduate medical training in internal medicine and geriatrics. His certifications include board certification in Internal Medicine and additional training in geriatric assessment and management, equipping him with the expertise necessary for comprehensive adult and senior care.

His clinical philosophy emphasizes evidence-based, patient-centered care. Dr. Angaran is dedicated to improving health outcomes through a thorough understanding of each patient's unique medical history and social context. Fluent in English and Italian, he strives to communicate effectively with diverse patient populations in Toronto and the surrounding communities.

Dr. Angaran provides expert care for adults with a wide range of medical conditions, including:

Complex Diagnostic & Multi-System Issues

• Management of Patients with Multiple Comorbidities: Coordinating care and treatment plans for individuals managing several complex health conditions simultaneously.
• Perioperative Medical Optimization: Pre-surgical assessment and management of medical conditions to minimize operative risks and ensure smoother recovery.
• Investigation of Anemia: Diagnosing the underlying cause of low red blood cell counts.

Geriatric Syndromes & Focused Elder Care

• Falls, Mobility & Balance Disorders: Multifactorial assessment to identify causes of falls and gait instability; implementation of prevention strategies.
• Frailty Assessment & Management: Identifying and managing frailty to improve resilience, maintain function, and enhance quality of life in older adults.
• Nutritional Assessment & Weight Loss: Investigating unintentional weight loss and malnutrition, providing guidance on nutritional support for older adults.

Management of Chronic Diseases

• Cardiovascular Conditions: Medical management of heart failure, coronary artery disease (stable), arrhythmias (like atrial fibrillation), and valvular heart disease.
• Chronic Kidney Disease (CKD): Monitoring kidney function, managing complications (anemia, bone disease, electrolytes), and strategies to slow disease progression.
• Diabetes Mellitus (Type 1 & 2): Comprehensive management including glucose control strategies, complication prevention, and patient education.

Dr. Angaran manages a wide range of complex adult and geriatric health conditions. This list highlights common areas of focus. If your condition is not listed, please note that internal medicine specialists address diverse and often multi-systemic diseases. Consultation is typically initiated via referral from your primary care physician.

• Second Opinion Consultations: Providing an independent expert review and opinion on complex diagnoses or treatment plans.
• Comprehensive Geriatric Assessment (CGA): A holistic, multidimensional evaluation tailored to older adults, assessing medical conditions, functional ability, cognition, mood, nutrition, social support, and medication use.
• Management of Acute Medical Issues (Inpatient Focus): Diagnosis and treatment of serious acute illnesses requiring hospital admission (often a primary role in hospital settings).
• Management of Complex Chronic Diseases: Ongoing care and treatment optimization for adults managing multiple chronic conditions such as diabetes, heart disease, kidney disease, hypertension, and respiratory illnesses.
• Thyroid Disorder Management: Diagnosis and ongoing management of conditions like hypothyroidism, hyperthyroidism, and thyroid nodules.

Note: This list represents some of the key services offered by Dr. Angaran. As a specialist in Internal Medicine and Geriatric Care, he provides comprehensive diagnostic and management services. For specific inquiries about whether your condition falls within Dr. Angaran's scope of practice, please discuss with your referring physician or contact the clinic.

All medical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of Ontario (CPSO).

Dr. Angaran's practice is located in the vibrant Garden District, within the Ryerson neighborhood of Toronto. The clinic is conveniently situated near Osgoode Hall, making it accessible for patients from across the city. Patients can easily reach the facility via TTC, including subway, streetcar, and bus routes. The facility is wheelchair accessible. Parking is available at the facility.

How is payment handled for appointments with Dr. Angaran? Is it covered by Ontario Health Insurance Plan (OHIP)?

In ON, medical consultations with specialists like Dr. Angaran are typically covered by your provincial health insurance (Ontario Health Insurance Plan (OHIP)) when you present a valid health card and have the required referral. You generally do not pay directly for the consultation service itself. Some specific procedures, forms, or administrative tasks might not be covered by Ontario Health Insurance Plan (OHIP) and may incur a separate fee according to provincial guidelines. Please inquire if you have questions about uninsured services.

Can I book an appointment directly or do I absolutely need a referral?

A referral from your family physician or another medical specialist is required to see Dr. Angaran. As experts in Internal Medicine and Geriatric Care, Internists and Geriatricians see patients based on specific medical questions posed by the referring doctor. This ensures continuity of care and that the consultation is appropriate for your needs. Please have your doctor forward the referral information.

Does Dr. Paul Anthony Angaran handle prescription refills?

Generally, ongoing prescription refills should be managed through your family doctor (primary care provider). Dr. Angaran will make initial recommendations or adjustments, but routine refills are best handled by your family doctor who manages your overall care, unless specific arrangements are made for certain specialized medications.

Is the focus mainly on diseases or also on daily function?

While diagnosing and managing diseases like Polypharmacy & Medication Optimization or Investigation of Anemia is crucial, Dr. Angaran also places significant emphasis on maintaining or improving daily function and quality of life, especially for older adults. The goal is often to help patients remain as independent and active as possible, addressing issues like mobility, self-care, and participation in meaningful activities.

When should someone be referred to an Internist or Geriatrician?

Referrals are typically appropriate for adults with complex diagnostic challenges, poorly controlled chronic diseases, multiple interacting medical conditions, or unexplained symptoms. For older adults, referrals are common for geriatric syndromes such as falls, memory decline, frailty, or complex medication management. Your family doctor can best determine if a specialist consultation is needed.

What should I bring to my first appointment?

Please bring:

• Your provincial health card (Ontario Health Insurance Plan (OHIP) card).
• The referral letter if you have it.
• A complete list of ALL your current medications (prescriptions, over-the-counter, vitamins, herbs), including doses. Bringing the actual bottles/packaging is often very helpful.
• A list of your past medical history, surgeries, and known allergies.
• Any relevant medical reports, lab results, or imaging (X-ray, CT, MRI) reports you possess.
• A list of your specific questions or concerns for Dr. Angaran.

30 Bond Street
Toronto, ON M5B 1W8

Phone: (416) 864-5152 | Fax: (416) 864-5348

The facility is wheelchair accessible.

Dr. Angaran is a licensed physician regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Medicine Act, 1991 in ON. Patients are typically seen by referral from their primary care physician.

Verify registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Angaran-Paul-Anthony/0210560-80993