Organization
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMAD AWF MOUCHLI MD (RESIDENT)
(317) 529-8791
Entity
Organization
Contact information
Practice address
1001 W 10TH ST, WD OPW M200, INDIANAPOLIS, IN 46202-2859
(800) 362-2066
Mailing address
715 LOCKEFIELD ST, APT#E, INDIANAPOLIS, IN 46202-2926
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
11014814A
ND
Other
Enumeration date
12/17/2009
Last updated
12/17/2009
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