Provider Demographics
NPI:1518100296
Name:CHOATE, ANDREA IRWIN (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:IRWIN
Last Name:CHOATE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 SONATA TRL
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-1632
Mailing Address - Country:US
Mailing Address - Phone:501-920-7887
Mailing Address - Fax:
Practice Address - Street 1:11900 COLONEL GLENN RD STE 2000
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72210-2829
Practice Address - Country:US
Practice Address - Phone:501-202-7474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-11
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA069563207L00000X
390200000X
ARE-12072207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program