# MOAZZAM HABIB MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003077488
- **Authorized official:** SAMEER HABIB (OFFICE MANAGER)
- **Authorized official phone:** (317) 571-0030

## Contact information

- **Practice address:** 9240 N MERIDIAN ST, SUITE 240, INDIANAPOLIS, IN 46260-1880
- **Practice address phone:** (317) 571-0030
- **Practice address fax:** (317) 571-0031
- **Mailing address:** PO BOX 40686, INDIANAPOLIS, IN 46240-0686
- **Mailing address phone:** (317) 571-0030
- **Mailing address fax:** (317) 571-0031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 01040236A | IN | Yes |

## Other

- **Enumeration date:** 06/19/2008
- **Last updated:** 02/04/2014