Organization
MOAZZAM HABIB MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMEER HABIB (OFFICE MANAGER)
(317) 571-0030
Entity
Organization
Contact information
Practice address
9240 N MERIDIAN ST, SUITE 240, INDIANAPOLIS, IN 46260-1880
(317) 571-0030
(317) 571-0031
Mailing address
PO BOX 40686, INDIANAPOLIS, IN 46240-0686
(317) 571-0030
(317) 571-0031
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
01040236A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000200129
ANTHEM
IN
05
—
100358590B
—
IN
Enumeration date
06/19/2008
Last updated
02/04/2014
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