Waldman, Andrea Rachel

Waldman, Andrea Rachel is an individual health care provider with primary practice located at 250 Fountain Ct , Lexington KY 40509-1888. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Waldman, Andrea Rachel can be contacted via phone (859) 263-4444.

Contact Information

Primary practice address
250 Fountain Ct Lexington KY 40509-1888
Phone: (859) 263-4444
Fax: (859) 263-6781
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X 58021 Kentucky
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 58021 Kentucky
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 303067 New York

Profile Details

NPI number 1134461460
LBN Legal business name Waldman, Andrea Rachel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2013
Last updated Dec 17th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134461460 NPPES
Kentucky MEDICAID 7100918860

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