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NPI Code Detail

MEDICARE: ANDREW F CUNNINGHAM DO

MEDICARE: ANDREW F CUNNINGHAM DO
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
1207Q00000XFamily Medicine Physician02003865AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000729715OTHERINANTHEM PIN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942484985
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW F CUNNINGHAM DO
Provider Business Mailing Address
First Line : 250 N SHADELAND AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-4959
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8820 S. MERIDIAN STREET
Second Line : SUITE 200
City : INDIANAPOLIS
State : IN
Zip : 46217-6057
Country : US
Telephone Number : 317-865-6750
Fax Number : 317-865-6759
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2007
Last Update Date : 01/28/2021

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Directions to “ ANDREW F CUNNINGHAM DO” Practice Location

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