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NPI Code Detail

MEDICARE: MATTHEW HODAPP MD

MEDICARE: MATTHEW HODAPP MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianBP10083863TX

General Provider Information

NPI Number : 1891481768
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW HODAPP MD
Provider Business Mailing Address
First Line : 8980 W CHEYENNE AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129-8928
Country : US
Telephone Number : 702-564-8556
Fax Number :
Provider Business Practice Location Address
First Line : 8980 W CHEYENNE AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129-8928
Country : US
Telephone Number : 702-564-8556
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2023
Last Update Date : 05/18/2026

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Directions to “ MATTHEW HODAPP MD” Practice Location

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