Provider Demographics
NPI:1477739597
Name:MAUER, ANDREAS CHRISTOPH (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREAS
Middle Name:CHRISTOPH
Last Name:MAUER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:55 E CALIFORNIA BLVD
Mailing Address - Street 2:FL 3
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-3944
Mailing Address - Country:US
Mailing Address - Phone:626-793-1227
Mailing Address - Fax:626-793-3794
Practice Address - Street 1:55 E CALIFORNIA BLVD
Practice Address - Street 2:FL 3
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-3944
Practice Address - Country:US
Practice Address - Phone:626-793-1227
Practice Address - Fax:626-793-3794
Is Sole Proprietor?:No
Enumeration Date:2008-01-18
Last Update Date:2019-07-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY244155207R00000X
MA246770207RC0000X
NV16397207RI0011X
CAA145769207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A1457690Medicaid