Organization
THOMAS E MORAN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS E MORAN M.D. (PRESIDENT)
(317) 889-4120
Entity
Organization
Contact information
Practice address
8404 SIEAR TER, STE 101, INDIANAPOLIS, IN 46227-7201
(317) 848-4120
(317) 848-4128
Mailing address
8404 SIEAR TER, STE 101, INDIANAPOLIS, IN 46227-7201
(317) 848-4120
(317) 848-4128
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011068167A
RAILROAD MEDICARE
—
05
—
100060040A
—
IN
Enumeration date
10/20/2005
Last updated
11/01/2011
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