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NPI Code Detail

MEDICARE: ANGELIQUE A ANDREWS MD

MEDICARE: ANGELIQUE A 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
1208000000XPediatrics PhysicianMD27938AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
29750064OTHERALAETNA
3051541835OTHERALBCBS

General Provider Information

NPI Number : 1720286115
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELIQUE A ANDREWS MD
Provider Business Mailing Address
First Line : 1225 3RD AVE SE
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52403-4009
Country : US
Telephone Number : 319-730-7300
Fax Number : 256-585-6713
Provider Business Practice Location Address
First Line : 1225 3RD AVE SE
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52403-4009
Country : US
Telephone Number : 319-730-7300
Fax Number : 256-585-6713
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2007
Last Update Date : 08/23/2024

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