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Individual
OSCAR ERNESTO ANDRADE
Active
Individual
OSCAR ERNESTO ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27758
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205962792
NPI TYPE II MEDCOM MEDICAL LLC
AZ
01
—
1275685521
NPI TYPE I OSCAR ANDRADE
AZ
05
—
475592
—
AZ
01
—
Z71760
PTAN MEDCOM MEDICAL, LLC
AZ
01
—
Z71801
PTAN OSCAR ANDRADE
AZ
Enumeration date
01/17/2007
Last updated
10/06/2025
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