Andacheh, Iden David
Andacheh, Iden David is an individual health care provider with primary practice located at 7111 Indiana Ave Ste 100 , Riverside CA 92504-4557. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Andacheh, Iden David can be contacted via phone (951) 276-9012.Contact Information
Primary practice address
7111 Indiana Ave Ste 100
Riverside CA 92504-4557
Phone: (951) 276-9012
Fax: (951) 276-9163
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | A106941 | California |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | A106941 | California |
Profile Details
| NPI number | 1881888345 |
|---|---|
| LBN Legal business name | Andacheh, Iden David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2007 |
| Last updated | Dec 1st, 2021 - about 4 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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