Provider Demographics
NPI:1356669139
Name:POWELL, ANDREW DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:DAVID
Last Name:POWELL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3200 SYCAMORE CT STE 1B
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47203-1545
Mailing Address - Country:US
Mailing Address - Phone:812-378-9027
Mailing Address - Fax:812-378-1014
Practice Address - Street 1:3200 SYCAMORE CT STE 1B
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47203
Practice Address - Country:US
Practice Address - Phone:812-378-9027
Practice Address - Fax:812-378-1014
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-04
Last Update Date:2018-05-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01071405A207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology