Individual
DR. RICARDO ANDAYA MADDELA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10 N LOCUST ST, OXFORD, OH 45056-1192
(513) 853-9000
(513) 896-3727
Mailing address
10 N LOCUST ST, OXFORD, OH 45056-1192
(513) 853-9000
(513) 896-3727
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
03288
KY
208600000X
Surgery Physician
Primary
34.016302
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000700445
ANTHEM
KY
05
—
7100152020
—
KY
Enumeration date
06/27/2008
Last updated
05/10/2023
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