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Organization

EXTENDED CARE MEDICAL DOCTORS

Active
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Organization

EXTENDED CARE MEDICAL DOCTORS

Active
Other names
ECMD
Organization subpart
No

Provider details

NPI number
Authorized official
M M NOOR US SHAMS (MEMBER)
(346) 208-2408
Entity
Organization

Contact information

Practice address
10475 CROSSPOINT BLVD STE 250, INDIANAPOLIS, IN 46256-3387
(317) 813-5047
Mailing address
10475 CROSSPOINT BLVD STE 250, INDIANAPOLIS, IN 46256-3387

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
IN
207R00000X
Internal Medicine Physician
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
IN

Other

Enumeration date
03/13/2018
Last updated
03/13/2018
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