David D'Andrea, MD
Radiology, Diagnostic Radiology in Mishawaka, IN. Individual provider (NPI-1).
NPI number1366437899
StatusActive
Last updated in NPPESMay 16, 2013
Details
- NPI
- 1366437899
- Entity type
- Individual (NPI-1)
- Name
- David D'Andrea
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 12, 2005
- Last updated
- May 16, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 01054877 | IN | Yes |
| 2085B0100X | Radiology, Body Imaging | 01054877 | IN | |
| 2085N0700X | 01054877 | IN | ||
| 2085N0904X | 01054877 | IN | ||
| 2085P0229X | Radiology, Pediatric Radiology | 01054877 | IN | |
| 2085R0203X | Radiology, Therapeutic Radiology | 01054877 | IN | |
| 2085R0204X | Radiology, Vascular & Interventional Radiology | 01054877 | IN | |
| 2085U0001X | Radiology, Diagnostic Ultrasound | 01054877 | IN |
Practice location
620 W Edison RdSuite 110
Mishawaka, IN 46545-2784
Phone 574-258-1100 · Fax 574-258-1101
Mailing address
620 W Edison RdSuite 110
Mishawaka, IN 46545-2784
Phone 574-258-1100 · Fax 574-258-1101
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