Kardatzke, Matthew August

Kardatzke, Matthew August is an individual health care provider with primary practice located at 705 Riley Hospital Dr Rr 208, Indianapolis IN 46202-5109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Kardatzke, Matthew August can be contacted via phone (317) 274-4715.

Contact Information

Primary practice address
705 Riley Hospital Dr Rr 208 Indianapolis IN 46202-5109
Phone: (317) 274-4715
Fax: (317) 274-2065
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 01072311 Indiana

Profile Details

NPI number 1336465137
LBN Legal business name Kardatzke, Matthew August
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2010
Last updated Feb 1st, 2022 - about 2 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 1336465137 NPPES
Indiana MEDICAID 201124520

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