Provider Demographics
NPI:1124768684
Name:LIN, ANDREA Y (MD)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:Y
Last Name:LIN
Suffix:
Gender:F
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:UNIVERSITY OF MARYLAND DEPARTMENT OF ANESTHESIOLOGY
Mailing Address - Street 2:22 S. GREENE STREET, S11C
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201
Mailing Address - Country:US
Mailing Address - Phone:410-328-1239
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF MARYLAND DEPARTMENT OF ANESTHESIOLOGY
Practice Address - Street 2:22 S. GREENE STREET, S11C
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201
Practice Address - Country:US
Practice Address - Phone:410-328-1239
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-31
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program