Provider Demographics
NPI:1386647303
Name:ANDRE, PATRICK N (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:N
Last Name:ANDRE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6041 TELECOM DR
Mailing Address - Street 2:
Mailing Address - City:MILAN
Mailing Address - State:TN
Mailing Address - Zip Code:38358-3448
Mailing Address - Country:US
Mailing Address - Phone:731-686-1505
Mailing Address - Fax:731-686-8174
Practice Address - Street 1:6041 TELECOM DR
Practice Address - Street 2:
Practice Address - City:MILAN
Practice Address - State:TN
Practice Address - Zip Code:38358-3448
Practice Address - Country:US
Practice Address - Phone:731-686-1505
Practice Address - Fax:731-686-8174
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN36101207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3876140Medicaid
TN621142973OtherUNITED HEALTHCARE
TN621142973OtherCIGNA
TNP00037726OtherRAILROAD MEDICARE
TN3876140OtherMEDICARE
TN4058690OtherBLUE CROSS BLUE SHIELD OF TENNESSEE
TN621142973OtherHEALTH PARTNERS
TN621142973OtherUSA MANAGED CARE
TN3876140Medicaid