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Individual
ANDREW KEITH EDWARDS
Active
Individual
ANDREW KEITH EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01053185A
IN
207Q00000X
Family Medicine Physician
Primary
01053185A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000228927
ANTHEM PROVIDER NUMBER - FAMILY MEDICINE
IN
01
—
000000759193
ANTHEM PROVIDER NUMBER - URGENT CARE
IN
01
—
11319869
CAQH NUMBER
IN
05
—
200239840
—
IN
01
—
9397039
PHCS PID NUMBER
IN
Enumeration date
03/16/2006
Last updated
06/02/2026
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