Hedera, Peter

Hedera, Peter is an individual health care provider with primary practice located at 220 Abraham Flexner Way Fl 6 , Louisville KY 40202-3826. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Hedera, Peter can be contacted via phone (502) 582-7654.

Contact Information

Primary practice address
220 Abraham Flexner Way Fl 6 Louisville KY 40202-3826
Phone: (502) 582-7654
Fax: (502) 588-7563
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MD36171 Tennessee
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD36171 Tennessee
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 53689 Kentucky

Profile Details

NPI number 1518041615
LBN Legal business name Hedera, Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Nov 2nd, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518041615 NPPES
Kentucky MEDICAID 64048853
Kentucky MEDICAID 300039258

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