Individual
ELLIOT J ANDROPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 UNIVERSITY BLVD, SUITE 3240, INDIANAPOLIS, IN 46202-5149
(317) 944-7744
(317) 944-7051
Mailing address
250 N SHADELAND AVE, STE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01068681A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200992810
—
IN
05
—
3007227
—
MA
Enumeration date
11/09/2005
Last updated
02/02/2021
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