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NPI Code Detail

MEDICARE: DR. JANA K KNABLE MD

MEDICARE: DR. JANA K KNABLE 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
12084P0800XPsychiatry Physician01047167IN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P01634473OTHERINRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508807934
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JANA K KNABLE MD
Provider Business Mailing Address
First Line : 250 N SHADELAND AVE
Second Line : STE 130 PROVIDER ENROLLMENT
City : INDIANAPOLIS
State : IN
Zip : 46219-4959
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6820 PARKDALE PL
Second Line : SUITE 115
City : INDIANAPOLIS
State : IN
Zip : 46254-4699
Country : US
Telephone Number : 317-329-7300
Fax Number : 317-329-7325
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2006
Last Update Date : 05/31/2016

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Directions to “ DR. JANA K KNABLE MD” Practice Location

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