Individual
DR. RONALD DEANDRADE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
929 JASONWAY AVE, COLUMBUS, OH 43214-2464
(614) 538-2250
(614) 538-2256
Mailing address
929 JASONWAY AVE, COLUMBUS, OH 43214-2464
(614) 538-2250
(614) 538-2256
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
35061609
OH
207RN0300X
Nephrology Physician
Primary
35061609
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0709906
—
OH
Enumeration date
05/01/2006
Last updated
08/06/2014
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