Provider Demographics
NPI:1932187432
Name:MONE, ANDREW P (MD)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:P
Last Name:MONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:792 OLD EBENEZER RD
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:VA
Mailing Address - Zip Code:24354-6014
Mailing Address - Country:US
Mailing Address - Phone:276-783-8491
Mailing Address - Fax:276-783-2879
Practice Address - Street 1:565 RADIO HILL RD
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:VA
Practice Address - Zip Code:24354-6587
Practice Address - Country:US
Practice Address - Phone:276-783-1827
Practice Address - Fax:276-783-2879
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101237981208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010367174Medicaid
VA202076OtherANTHEM
VAP00381831OtherRR MEDICARE
VAI39108Medicare UPIN
VA202076OtherANTHEM