| Diabetes Associates Of Indiana P.c. | |
|
9526 Park Meridian Dr Indianapolis IN 46260-1331 | |
| (317) 652-9684 | |
| Not Available |
| Full Name | Diabetes Associates Of Indiana P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 9526 Park Meridian Dr, Indianapolis, Indiana |
| Authorized Official Name and Position | Moazzam Habib (OWNER) |
| Authorized Official Contact | 3175902604 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetes Associates Of Indiana P.c. 9526 Park Meridian Dr Indianapolis IN 46260-1331 Ph: (317) 652-9684 | Diabetes Associates Of Indiana P.c. 9526 Park Meridian Dr Indianapolis IN 46260-1331 Ph: (317) 652-9684 |
| NPI Number | 1063130383 |
|---|---|
| Provider Enumeration Date | 08/22/2022 |
| Last Update Date | 08/22/2022 |
| Medicare PECOS PAC ID | 0345611133 |
|---|---|
| Medicare Enrollment ID | O20230112002676 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063130383 | NPI | - | NPPES |
| 100358590 | Medicaid | IN |
| Provider Name | Moazzam W Habib |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1639270721 PECOS PAC ID: 3274604079 Enrollment ID: I20080623000432 |
| Provider Name | Hope Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801161013 PECOS PAC ID: 9133382062 Enrollment ID: I20121116000330 |
| Provider Name | Navdeep Wahi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174127492 PECOS PAC ID: 7416366166 Enrollment ID: I20210510000429 |
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