| Moazzam Habib Md Pc | |
|
9240 N Meridian St Suite 240 Indianapolis IN 46260-1880 | |
| (317) 571-0030 | |
| (317) 571-0031 |
| Full Name | Moazzam Habib Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9240 N Meridian St, Indianapolis, Indiana |
| Authorized Official Name and Position | Sameer Habib (OFFICE MANAGER) |
| Authorized Official Contact | 3175710030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moazzam Habib Md Pc Po Box 40686 Indianapolis IN 46240-0686 Ph: (317) 571-0030 | Moazzam Habib Md Pc 9240 N Meridian St Suite 240 Indianapolis IN 46260-1880 Ph: (317) 571-0030 |
| NPI Number | 1003077488 |
|---|---|
| Provider Enumeration Date | 06/19/2008 |
| Last Update Date | 02/04/2014 |
| Medicare PECOS PAC ID | 7517038326 |
|---|---|
| Medicare Enrollment ID | O20080623000440 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003077488 | NPI | - | NPPES |
| 100358590B | Medicaid | IN | |
| 000000200129 | Other | IN | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 01040236A (Indiana) | Primary |
| Provider Name | Stephanie Rose Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912100538 PECOS PAC ID: 1052408366 Enrollment ID: I20071102000636 |
| Provider Name | Moazzam W Habib |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1639270721 PECOS PAC ID: 3274604079 Enrollment ID: I20080623000432 |
| Provider Name | Payal Rana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437606019 PECOS PAC ID: 6709166127 Enrollment ID: I20230105000920 |
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