Individual
PATRICK R ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1471 CHESTER BLVD, RICHMOND, IN 47374-1945
(765) 935-4088
(765) 966-2596
Mailing address
1100 REID PKWY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374-1157
(765) 935-4088
(765) 966-2596
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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