Individual
DR. MAAMOON TAMMAA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11725 ILLINOIS ST, CARMEL, IN 46032-3008
(317) 948-5450
Mailing address
250 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46219-4959
(317) 962-4942
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60142077
WA
2084N0400X
Neurology Physician
Primary
01067152A
IN
2084N0400X
Neurology Physician
MD60142077
WA
2084N0600X
Clinical Neurophysiology Physician
MD60142077
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02632305
LABOR & INDUSTRIES
WA
Enumeration date
05/17/2007
Last updated
06/08/2021
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