Individual
ANDREW F CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8820 S. MERIDIAN STREET, SUITE 200, INDIANAPOLIS, IN 46217-6057
(317) 865-6750
(317) 865-6759
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02003865A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000729715
ANTHEM PIN
IN
05
—
201031810
—
IN
Enumeration date
12/27/2007
Last updated
01/28/2021
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