Individual
MOGES SISAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3801 BELLEMEADE AVE STE 300, EVANSVILLE, IN 47714-0113
(812) 485-1400
Mailing address
3801 BELLEMEADE AVE STE 300, EVANSVILLE, IN 47714-0113
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
01053981A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200317280A
—
IN
05
—
64030471
—
KY
Enumeration date
09/02/2005
Last updated
05/18/2023
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