Habib, Moazzam W

Habib, Moazzam W is an sole proprietor health care provider with primary practice located at 9240 N Meridian St Suite 240, Indianapolis IN 46260-1880. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Habib, Moazzam W can be contacted via phone (317) 571-0030.

Contact Information

Primary practice address
9240 N Meridian St Suite 240 Indianapolis IN 46260-1880
Phone: (317) 571-0030
Fax: (317) 571-0031
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 01040236A Indiana
Other Service Providers / Specialist 174400000X 01040236A Indiana

Profile Details

NPI number 1639270721
LBN Legal business name Habib, Moazzam W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
Last updated Jan 21st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639270721 NPPES
Indiana Other 000000200129 ANTHEM
Indiana MEDICAID 100358590 ANTHEM
Indiana Other 352135010 ANTHEM

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