Provider Demographics
NPI:1447254016
Name:KOBZA, KATHERINE T (MD)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:T
Last Name:KOBZA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6983 HILLSDALE CT
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-2054
Mailing Address - Country:US
Mailing Address - Phone:317-849-8350
Mailing Address - Fax:317-576-6311
Practice Address - Street 1:12188A N MERIDIAN ST STE 320
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-4407
Practice Address - Country:US
Practice Address - Phone:317-580-0420
Practice Address - Fax:317-580-0451
Is Sole Proprietor?:No
Enumeration Date:2005-06-10
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01056084A2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000227216OtherANTHEM BXBS
IN200371470Medicaid
IN200371470Medicaid
INH61760Medicare UPIN