# PAUL MOORE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE HEART GROUP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1841461480
- **Legal business name:** THE HEART GROUP
- **Authorized official:** DR. SATYAM TATINENI MD (PRESIDENT OF MEDICAL GROUP)
- **Authorized official phone:** (812) 464-0521

## Contact information

- **Practice address:** 2000 N ELM ST, SUITE A, HENDERSON, KY 42420-2385
- **Practice address phone:** (812) 464-0521
- **Practice address fax:** (812) 464-0565
- **Mailing address:** PO BOX 3316, EVANSVILLE, IN 47732-3316
- **Mailing address phone:** (812) 464-0521
- **Mailing address fax:** (812) 464-0565

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 22393 | KY | Yes |

## Other

- **Enumeration date:** 03/21/2008
- **Last updated:** 03/21/2008