Individual
ANDREW W THARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4233 GATEWAY BLVD, NEWBURGH, IN 47630-8900
(812) 490-3937
(812) 490-4514
Mailing address
PO BOX 3873, EVANSVILLE, IN 47737-3873
(812) 490-3937
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01037685
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000584867
ANTHEM
IN
05
—
100096940
—
IN
Enumeration date
12/04/2006
Last updated
02/19/2024
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