Individual
PETER HEDERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
220 ABRAHAM FLEXNER WAY FL 6, LOUISVILLE, KY 40202-3826
(502) 582-7654
(502) 588-7563
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328
(025) 887-5635
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
MD36171
TN
2084N0400X
Neurology Physician
Primary
53689
KY
2084N0400X
Neurology Physician
MD36171
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300039258
—
IN
05
—
64048853
—
KY
Enumeration date
10/25/2006
Last updated
11/02/2020
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