Provider Demographics
NPI:1932424660
Name:COLLINS, ANDREW DANIEL (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:DANIEL
Last Name:COLLINS
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 1:320 SETTLERS TRACE BLVD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-6060
Mailing Address - Country:US
Mailing Address - Phone:337-981-9495
Mailing Address - Fax:337-981-7451
Practice Address - Street 1:320 SETTLERS TRACE BLVD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-6060
Practice Address - Country:US
Practice Address - Phone:337-981-9495
Practice Address - Fax:337-981-7451
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-06
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2015-00868207K00000X
LA303260207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2428942Medicaid
LA2428942Medicaid