Provider Demographics
NPI:1659394427
Name:ANDREWS, DANIEL EDDINS III (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:EDDINS
Last Name:ANDREWS
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1131 TRANCAS ST
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-2907
Mailing Address - Country:US
Mailing Address - Phone:707-257-7752
Mailing Address - Fax:707-257-2483
Practice Address - Street 1:1131 TRANCAS ST
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-2907
Practice Address - Country:US
Practice Address - Phone:707-257-7752
Practice Address - Fax:707-257-2483
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA40516207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A405160Medicaid
CAZZZ23420ZOtherCARDIAC REHAB
CAZZZ23420ZOtherCARDIAC REHAB
CA00A405160Medicare ID - Type Unspecified