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Organization

DIABETES ASSOCIATES OF INDIANA P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MOAZZAM HABIB MD (OWNER)
(312) 262-6434
Entity
Organization

Contact information

Practice address
9526 PARK MERIDIAN DR, INDIANAPOLIS, IN 46260-1331
(317) 652-9684
Mailing address
9526 PARK MERIDIAN DR, INDIANAPOLIS, IN 46260-1331
(312) 262-6434

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100358590
IN
Enumeration date
08/22/2022
Last updated
12/03/2025
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