Individual
JORGE MOISES GONZALES CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 948-7208
(317) 944-7247
Mailing address
PO BOX 719094, CHICAGO, IL 60677-9318
(317) 777-6435
(317) 777-6644
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
01088470A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300097103
—
IN
Enumeration date
06/14/2019
Last updated
02/14/2026
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