MEDICARE: WILLIAM P HARDESTY 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
1	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	01027451A	IN
2	207R00000X	Internal Medicine Physician	01027451A	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

General Provider Information

NPI Number	:	1881799179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM P HARDESTY MD

Provider Business Mailing Address
First Line	:	PO BOX 3407
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47733-3407
Country	:	US
Telephone Number	:	812-485-2580
Fax Number	:	812-485-2590

Provider Business Practice Location Address
First Line	:	1750 OAK HILL RD
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47711-4364
Country	:	US
Telephone Number	:	812-485-2580
Fax Number	:	812-485-2590

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

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	03/08/2011

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Directions to “ WILLIAM P HARDESTY MD” Practice Location

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