MEDICARE: RONALD ANDREWS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	023298	LA

General Provider Information

NPI Number	:	1083699946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD ANDREWS MD

Provider Business Mailing Address
First Line	:	PO BOX 15299
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70895-5299
Country	:	US
Telephone Number	:	225-922-8377
Fax Number	:

Provider Business Practice Location Address
First Line	:	8894 AIRLINE HWY
Second Line	:	STE Q
City	:	BATON ROUGE
State	:	LA
Zip	:	70815-4081
Country	:	US
Telephone Number	:	225-922-8377
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2005
Last Update Date	:	07/08/2007

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