Individual
PAUL RYAN MOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 W 10TH ST, INDIANAPOLIS, IN 46202-2859
(317) 630-7791
(317) 630-7616
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01052479A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01052479A
LICENSE
IN
Enumeration date
10/16/2006
Last updated
11/13/2025
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