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
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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