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Organization

EMD LIVE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
M M NOOR US SHAMS (COO)
(317) 762-4843
Entity
Organization

Contact information

Practice address
1955 CHELMSFORD ST, CARMEL, IN 46032-4456
(317) 762-4843
Mailing address
7349 TESTIMONY AVE APT 1D, CARMEL, IN 46033-4684
(346) 208-2408

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01075046B
IN

Other

Enumeration date
12/12/2017
Last updated
12/12/2017
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