Moore, Polly Anne

Moore, Polly Anne is an individual health care provider with primary practice located at 5330 E Stop 11 Rd , Indianapolis IN 46237-6345. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Moore, Polly Anne can be contacted via phone (317) 893-1900.

Contact Information

Primary practice address
5330 E Stop 11 Rd Indianapolis IN 46237-6345
Phone: (317) 893-1900
Fax: (317) 893-1901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology 207RA0001X 01057207A Indiana
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01057207A Indiana

Profile Details

NPI number 1356325369
LBN Legal business name Moore, Polly Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Jul 28th, 2023 - about last year

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 1356325369 NPPES
Indiana MEDICAID 200476670A

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