# DR. HUMBERTO MARCELO ANDREOLI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1255431375
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 0101055708 | VA | Yes |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 02/18/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 010108624 | — | VA |
| 01 | — | 144125 | ANTHEM PROVIDER ID | VA |
| 01 | — | 2359444 | CIGNA PROVIDER ID | VA |
| 01 | — | 2390361 | MAMSI PROVIDER ID | VA |
| 01 | — | 243793 | KAISER PROVIDER ID | VA |
| 01 | — | 281585 | AMERIGROUP PROVIDER ID | VA |
| 01 | — | 3829934 | AETNA HMO | VA |
| 01 | — | 5855677 | AETNA | VA |
| 01 | — | 80705 | GREAT WEST PROVIDER ID | VA |
| 01 | — | K180 | CAREFIRST PROVIDER ID | VA |