Provider Demographics
NPI:1811941875
Name:HECTOR, ANDREW (MD)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:HECTOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1711 S STATE ROAD 135
Mailing Address - Street 2:SUITE C
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-6481
Mailing Address - Country:US
Mailing Address - Phone:317-881-7400
Mailing Address - Fax:317-881-7477
Practice Address - Street 1:1711 S STATE ROAD 135
Practice Address - Street 2:SUITE C
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-6481
Practice Address - Country:US
Practice Address - Phone:317-881-7400
Practice Address - Fax:317-881-7477
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01050892A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000313282OtherANTHEM
INP00089437OtherRR MEDICARE
IN200198870Medicaid
IN200198870Medicaid
IN214520AMedicare PIN