Provider Demographics
NPI:1497701544
Name:ANDREWS, RONALD K (MD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:K
Last Name:ANDREWS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6626 E 75TH ST
Mailing Address - Street 2:SUITE 500
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-2890
Mailing Address - Country:US
Mailing Address - Phone:317-318-7712
Mailing Address - Fax:317-318-7005
Practice Address - Street 1:740 W GREEN MEADOWS DR
Practice Address - Street 2:SUITE 110
Practice Address - City:GREENFIELD
Practice Address - State:IN
Practice Address - Zip Code:46140-3098
Practice Address - Country:US
Practice Address - Phone:317-318-7000
Practice Address - Fax:317-318-7005
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2017-01-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01028538A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000313027OtherANTHEM
INP00080655OtherRR MEDICARE
IN100153420Medicaid
IN100153420Medicaid
INM400038015Medicare PIN
IN214420AMedicare PIN