Individual
ANDREW WILLIAM HARRITY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7150 CLEARVISTA DR, INDIANAPOLIS, IN 46256-1695
(317) 621-6262
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01068382A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000705265
ANTHEM
IN
05
—
200989960
—
IN
01
—
P00936226
RAILROAD MEDICARE
IN
Enumeration date
05/22/2008
Last updated
12/17/2024
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