MEDICARE: DR. HUDNER L HOBBS M.D.

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
1	208000000X	Pediatrics Physician	01020807A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000000086646	OTHER	IN	ANTHEM
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407805260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HUDNER L HOBBS M.D.

Provider Business Mailing Address
First Line	:	PO BOX 301077
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46230-1077
Country	:	US
Telephone Number	:	317-439-2510
Fax Number	:

Provider Business Practice Location Address
First Line	:	3850 SHORE DR
Second Line	:	SUITE 315
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46254-5621
Country	:	US
Telephone Number	:	317-387-4219
Fax Number	:	317-293-3991

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	11/19/2007

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