Organization
ENDOCRINOLOGY & DIABETES OF INDIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOAZZAM HABIB MD (PRESIDENT)
(317) 590-2604
Entity
Organization
Contact information
Practice address
9240 N MERIDIAN ST STE 240, INDIANAPOLIS, IN 46260-1876
(317) 571-0030
(317) 219-4690
Mailing address
9240 N MERIDIAN ST STE 240, INDIANAPOLIS, IN 46260-1876
(317) 571-0030
(317) 219-4690
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
01040236A
IN
Other
Enumeration date
11/01/2017
Last updated
11/01/2017
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