NPI 1174508998 · live from the CMS NPI Registry
Ljudevit Andres, M.D.
Internal Medicine, Gastroenterology in Prescott, AZ. National Provider Identifier 1174508998, active.
NPI record
| NPI | 1174508998 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 811 Ainsworth Dr, Suite 103, Prescott, AZ 86301 |
| Practice phone | 928-771-5548 |
| Mailing address | Po Box 10880, Prescott, AZ 86304 |
| Enumerated | December 14, 2005 |
| Last updated | June 4, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | 32009 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.