Individual
KEITH G ANDERSON
Active
Individual
KEITH G ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
16687
TN
207RI0011X
Interventional Cardiology Physician
Primary
16687
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116765
—
MS
05
—
117803001
—
AR
05
—
1519975
—
TN
01
—
4270275
BCBS
TN
01
—
P00854010
RAILROAD MEDICARE
TN
Enumeration date
07/28/2005
Last updated
01/08/2024
Update your record
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