IndividualActive
Aedra Andrade, MD
NPI 1164435673 · Family Medicine Physician · Gallup, NM
Provider details
- NPI number
- 1164435673
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- NM2003-0155 (NM)
Practice location
610 N 5th St
Gallup, NM 87301-5306
Phone: (505) 863-3120
Fax: (505) 863-2691
Mailing address
1504 Fairway Cir
Gallup, NM 87301-4937
Registry dates
- Enumerated
- 2006-08-14
- Last updated
- 2023-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.