Individual
MOHANNAD MOALLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 274-4779
(317) 948-9806
Mailing address
PO BOX 719094, CHICAGO, IL 60677-9318
(317) 777-6435
(317) 777-6644
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
01086945A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0050048
—
OH
05
—
300057674
—
IN
Enumeration date
05/23/2007
Last updated
03/06/2026
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