# DR. PETER M KNAPP JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1013921709
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VF0040X | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | 01030554A | IN | — |
| 208800000X | Urology Physician | 01030554A | IN | Yes |

## Other

- **Enumeration date:** 07/28/2006
- **Last updated:** 03/17/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000091698 | ANTHEM PIN NUMBER | IN |
| 01 | — | 100194370 | MEDICAID GROUP NUMBER | IN |
| 05 | — | 100238320 | — | IN |
| 01 | — | 1487680518 | GROUP NPI | IN |
| 01 | — | 200288740 | MEDICAID GROUP NUMBER | IN |
| 01 | — | 340012495 | MEDICARE RAILROAD | IN |
| 01 | — | 340012513 | MEDICARE RAILROAD | IN |
| 01 | — | 340012527 | MEDICARE RAILROAD | IN |