Individual
DR. JANA K KNABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6820 PARKDALE PL, SUITE 115, INDIANAPOLIS, IN 46254-4699
(317) 329-7300
(317) 329-7325
Mailing address
250 N SHADELAND AVE, STE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01047167
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200207750
—
IN
01
—
P01634473
RAILROAD MEDICARE
IN
Enumeration date
06/09/2006
Last updated
05/31/2016
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