Provider Demographics
NPI:1558522573
Name:ZEPEDA, ANDREA G (MD)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:G
Last Name:ZEPEDA
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 91734
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23291-1734
Mailing Address - Country:US
Mailing Address - Phone:804-358-6100
Mailing Address - Fax:804-342-7619
Practice Address - Street 1:1465 S GRAND BLVD DEPT OF
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63104-1003
Practice Address - Country:US
Practice Address - Phone:314-577-8750
Practice Address - Fax:314-268-5102
Is Sole Proprietor?:No
Enumeration Date:2008-06-23
Last Update Date:2019-10-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101253953207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology