Provider Demographics
NPI:1316162472
Name:MALONE, ANDREA G (DO)
Entity type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:G
Last Name:MALONE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:4343 ALL SEASONS DR STE 250
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-1952
Mailing Address - Country:US
Mailing Address - Phone:614-533-5500
Mailing Address - Fax:614-533-0217
Practice Address - Street 1:3663 RIDGE MILL DR
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-7799
Practice Address - Country:US
Practice Address - Phone:614-533-5500
Practice Address - Fax:614-533-0103
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2022-01-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH340099122084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0052194Medicaid
OH0052194Medicaid