Individual
DR. ANDREW R, HARWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4809 AMBASSADOR CAFFERY PKWY, SUITE 100, LAFAYETTE, LA 70508-8800
(337) 769-8660
(337) 769-8661
Mailing address
4809 AMBASSADOR CAFFERY PKWY, SUITE 100, LAFAYETTE, LA 70508-8800
(337) 769-8660
(337) 769-8661
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
06638R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06638R
STATE MEDICAL LICENSE
LA
05
—
1348007
—
LA
01
—
5DX68
ONCOLOGICS LLC PTAN GROUP
LA
01
—
5M543C895
PTAN 2 OF 3: EFF 01-19-04
LA
01
—
5M543DD21
PTAN 3 OF 3: EFF 04-28-08
LA
01
—
5M543DX68
ANDREW HARWOOD MEDICARE PTAN EFFECTIVE 05/19/2012
LA
Enumeration date
07/23/2006
Last updated
03/09/2016
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