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Contact Information

PETER HEDERA, MD
220 ABRAHAM FLEXNER WAY FL 6
LOUISVILLE, KY40202-3826
 Phone: 502-582-7654
 Fax: 502-588-7563
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PETER HEDERA · (Male)

NPI Number 1518041615
Status Active
Credentials MD
Entity Individual
Enumeration date 10/25/2006
Last updated 11/02/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 53689
  • TN License # MD36171
  • IN Medicaid 300039258
  • KY Medicaid 64048853
Hospital affiliation(s)
  • JEWISH HOSPITAL & ST MARY'S HEALTHCARE - (Acute Care)
    200 ABRAHAM FLEXNER WAY
    LOUISVILLE, KY 40202
  • UNIVERSITY OF LOUISVILLE HOSPITAL - (Acute Care)
    530 SOUTH JACKSON STREET
    LOUISVILLE, KY 40202
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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