Provider Demographics
NPI:1932145695
Name:ANDRADE, FRANCISCO L (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:L
Last Name:ANDRADE
Suffix:
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 1:350 MILL STREET
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740
Mailing Address - Country:US
Mailing Address - Phone:301-739-6620
Mailing Address - Fax:301-739-6628
Practice Address - Street 1:350 MILL STREET
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740
Practice Address - Country:US
Practice Address - Phone:301-739-6620
Practice Address - Fax:301-739-6628
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-21
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD27898207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD462981700Medicaid
MDB68160Medicare UPIN
MD1168Medicare PIN