Individual
PATRICK R ANDERSON
Active
Individual
PATRICK R ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01036460A
IN
207R00000X
Internal Medicine Physician
35.077693
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000373591
BLUESHIELD REIDHOSP-EKG
IN
01
—
000000681393
ANTHEM (RPA)
—
05
—
0686726
—
OH
01
—
100257060
MEDICAID REID EKG
IN
05
—
100257060
—
IN
01
—
903830I
MEDICARE REID EKG
IN
Enumeration date
07/03/2006
Last updated
05/12/2021
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