Individual
DR. ANDREW LEE BEARDSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-6815
Mailing address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-6815
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
01067761
IN
208000000X
Pediatrics Physician
01067761
IN
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
01067761
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201005490
—
IN
01
—
P01824403
RR MEDICARE
IN
Enumeration date
06/17/2008
Last updated
05/12/2022
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