Individual
ABDUL MOIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8402 HARCOURT RD STE 500, INDIANAPOLIS, IN 46260-2054
(317) 338-6701
Mailing address
8402 HARCOURT RD STE 500, INDIANAPOLIS, IN 46260-2054
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01075378A
IN
207RN0300X
Nephrology Physician
Primary
01075378A
IN
207RN0300X
Nephrology Physician
MD.203688
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07129356
—
MS
05
—
2119494
—
LA
Enumeration date
07/26/2007
Last updated
07/26/2022
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