Individual
REUBEN MAKALA ANDERS
Active
Individual
REUBEN MAKALA ANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A79025
CA
207N00000X
Dermatology Physician
MD-13554
HI
207N00000X
Dermatology Physician
MD00046746
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A790250
MEDICARE PTAN
CA
01
—
3298AN
BLUE SHIELD #
WA
01
—
7590826
AETNA#
WA
05
—
8463564
—
WA
Enumeration date
07/22/2006
Last updated
08/26/2020
Update your record
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