Individual
ANDREA KATHLEEN GOLDYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8402 HARCOURT RD STE 300, INDIANAPOLIS, IN 46260-2052
(317) 338-3100
Mailing address
10330 N MERIDIAN ST # 300, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01067177A
IN
2080P0205X
Pediatric Endocrinology Physician
Primary
01067177A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12390155
CAQH ID
IN
Enumeration date
05/24/2007
Last updated
09/07/2017
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