Provider Demographics
NPI:1457462798
Name:MCANDREW, MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:MCANDREW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:WILLIAM
Other - Middle Name:
Other - Last Name:MCANDREW
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:7625 SUNRISE BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CITRUS HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:95610-2364
Mailing Address - Country:US
Mailing Address - Phone:916-725-1515
Mailing Address - Fax:916-725-1525
Practice Address - Street 1:7625 SUNRISE BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:CITRUS HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:95610-2364
Practice Address - Country:US
Practice Address - Phone:916-725-1515
Practice Address - Fax:916-725-1525
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2009-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG640562084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry