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Individual
ANDREW J DENARDO
Active
Individual
ANDREW J DENARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
M-17162
ID
2085R0204X
Vascular & Interventional Radiology Physician
0101046026
VA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
01042295A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000176716
ANTHEM BCBS
—
05
—
200007900
—
IN
Enumeration date
06/20/2005
Last updated
06/05/2023
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