Individual
MARIA A. PEDUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 N BARKER AVE, EVANSVILLE, IN 47712-5601
(812) 423-4418
(812) 422-7558
Mailing address
415 MULBERRY STREET, EVANSVILLE, IN 47713-1230
(812) 423-7791
(812) 422-7558
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01026759
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01026759C
CSR
IN
05
—
100084170A
—
IN
01
—
11955938
CAQH
IN
Enumeration date
02/20/2009
Last updated
03/07/2023
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