Individual
DR. THOMAS E MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8404 SIEAR TER, 206, INDIANAPOLIS, IN 46227-7215
(317) 889-4120
(317) 889-4128
Mailing address
8404 SIEAR TER, 206, INDIANAPOLIS, IN 46227-7215
(317) 889-4120
(317) 889-4128
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01020493A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000083183
ANTHEM PIN
IN
01
—
011068167A
RAILROAD MEDICARE
—
05
—
100060040A
—
IN
Enumeration date
10/24/2005
Last updated
09/12/2007
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