Active NPIIndividual provider

Kevin B Deandrade, MD

Internal Medicine, Interventional Cardiology in Mobile, Alabama

NPI Number1174781017
Practice location
6701 Airport Blvd, Suite A-107, Mobile, AL 36608-6774
Fax
—
Last updated
August 4, 2026

Kevin Blase Deandrade is an Internal Medicine, Interventional Cardiology based in Mobile, AL. Kevin Blase Deandrade practices in Mobile, AL and has the professional credentials of MD. The NPI Number for Kevin Blase Deandrade is 1174781017 and holds a License No. 30054 (AL). The current practice location address for Kevin Blase Deandrade is 6701 Airport Blvd, Suite A-107, Mobile, AL 36608-6774 and can be reached out via phone at 251-433-4700.

Provider Profile Details

NPI Number
1174781017
Provider Name
Kevin Blase Deandrade
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6701 Airport Blvd, Suite A-107, Mobile, AL 36608-6774
Phone Number
251-433-4700
Primary Taxonomy
Internal Medicine, Interventional Cardiology · 207RI0011X
Sole Proprietor
No
Provider Enumeration Date
May 28, 2008
Last Update Date
August 4, 2026
Certification Date
August 4, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
6701 Airport Blvd
Suite A-107
Mobile, AL 36608-6774
City
Mobile
State
Alabama
Zip
36608-6774
Phone Number
251-433-4700
Mobile, AL 36608Get directions →

Provider Business Mailing Address Details

Address
Po Box 36258
Belfast, ME 04915-1204
City
Belfast
State
ME
Zip
04915-1204
Phone Number
251-243-4511
Fax Number
251-405-9900

License Information

License Number (1)
30054
License State (1)
AL
License Number (2)
30054
License State (2)
AL
Taxonomy (2)
Internal Medicine, Interventional Cardiology · 207RI0011X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kevin B Deandrade, MD?

The NPI number of Kevin B Deandrade, MD is 1174781017. It was assigned on May 28, 2008 and is currently active in the NPPES registry.

What is the specialty of Kevin B Deandrade, MD?

Kevin B Deandrade, MD is registered under the primary taxonomy Internal Medicine, Interventional Cardiology (code 207RI0011X), licensed in AL under license number 30054.

Where does Kevin B Deandrade, MD practice?

The practice location is 6701 Airport Blvd, Suite A-107, Mobile, AL 36608-6774. The office can be reached at 251-433-4700 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174781017 directly on the NPPES registry website.

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