Provider Demographics
NPI:1336224161
Name:BATCHELDER, ANDREW GRAHAM (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:GRAHAM
Last Name:BATCHELDER
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:VERADALE MEDICAL CENTER
Mailing Address - Street 2:14402 E SPRAGUE AVE.
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99216-2167
Mailing Address - Country:US
Mailing Address - Phone:509-922-2625
Mailing Address - Fax:509-922-4001
Practice Address - Street 1:VERADALE MEDICAL CENTER
Practice Address - Street 2:14402 E SPRAGUE AVE.
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99216-2167
Practice Address - Country:US
Practice Address - Phone:509-922-2625
Practice Address - Fax:509-922-4001
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00028879207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8144982Medicaid
8316OtherINTERNAL ID-MOTOR VEHICLE ID
WA8144982Medicaid
AB16999Medicare ID - Type Unspecified