Individual
AMANDA DAWN BENADERET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 962-8067
(317) 962-3796
Mailing address
PO BOX 719094, CHICAGO, IL 60677-9318
(317) 777-6435
(317) 777-6644
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01072554
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201162800
—
IN
Enumeration date
06/19/2008
Last updated
02/12/2026
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