HOLLY M KNODERER MD NPI 1053530006

NPI Information

NPI: 1053530006
Provider Name: HOLLY M KNODERER, MD
Classification: Pediatrics - 2080P0207X
Entity Type: Individual

Specialization: Pediatric Hematology-Oncology

Address:
705 RILEY HOSPITAL DRIVE
ROC 4340
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 944-5611
Get Directions

Holly M Knoderer, MD is a pediatric hematology-oncology pediatrics in Indianapolis, IN. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. Holly M Knoderer, MD NPI is 1053530006. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

705 RILEY HOSPITAL DRIVE
ROC 4340
INDIANAPOLIS, IN
ZIP 46202-109
Phone: (317) 944-5611
Fax: (317) 944-3107

The enumeration date for this NPI number is 4/25/2007 and was last updated on 2/18/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	01063505	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200862280	MEDICAID	INDIANA
2	M400031711	MEDICARE PIN	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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