Provider Demographics
NPI:1174793806
Name:SMITH, ANDREW DAVID (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:DAVID
Last Name:SMITH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2637 SHADELANDS DR
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-2512
Mailing Address - Country:US
Mailing Address - Phone:925-395-4022
Mailing Address - Fax:925-395-4425
Practice Address - Street 1:2637 SHADELANDS DR
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-2512
Practice Address - Country:US
Practice Address - Phone:925-395-4022
Practice Address - Fax:925-395-4425
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-10
Last Update Date:2025-02-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA102990208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology