Moghadam, Kenneth K
Moghadam, Kenneth K is an sole proprietor health care provider with primary practice located at 11725 N Illinois St Suite 515, Carmel IN 46032-3008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as his primary health care specialty. Moghadam, Kenneth K can be contacted via phone (317) 814-4110.Contact Information
Primary practice address
11725 N Illinois St Suite 515
Carmel IN 46032-3008
Phone: (317) 814-4110
Fax: (317) 814-4114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | 01051029A | Indiana |
Profile Details
| NPI number | 1033120282 |
|---|---|
| LBN Legal business name | Moghadam, Kenneth K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Apr 30th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033120282 | NPPES |
| Indiana | Other | 000000366889 | ANTHEM |
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