Provider Demographics
NPI:1225199409
Name:ANDREWS, ALLAN HIROSHI (MD)
Entity Type:Individual
Prefix:
First Name:ALLAN
Middle Name:HIROSHI
Last Name:ANDREWS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13 MEDICAL CAMPUS DR NW STE 102
Practice Address - Street 2:
Practice Address - City:SUPPLY
Practice Address - State:NC
Practice Address - Zip Code:28462-4093
Practice Address - Country:US
Practice Address - Phone:910-754-5988
Practice Address - Fax:910-754-5989
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD32827207RG0100X
NC2009-02123207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology