# DR. DOUGLAS H ANDERSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1124400759
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | C5084 | KY | — |
| 208600000X | Surgery Physician | OT016341 | PA | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 303882 | NY | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | C5084 | KY | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | H0094232 | MD | — |

## Other

- **Enumeration date:** 06/19/2015
- **Last updated:** 04/30/2026