MOAZZAM HABIB MD PC NPI 1003077488

NPI Information

  • NPI: 1003077488
  • Provider Name: MOAZZAM HABIB MD PC
  • Classification: Internal Medicine - 207RE0101X
  • Specialization: Endocrinology, Diabetes & Metabolism
  • Entity Type: Organization
  • Address: 9240 N MERIDIAN ST
    SUITE 240
    INDIANAPOLIS, IN
    ZIP 46260
  • Phone: (317) 571-0030

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NPI Details

MOAZZAM HABIB MD PC is an endocrinology and diabetes and metabolism internal medicine in Indianapolis, IN. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. MOAZZAM HABIB MD PC NPI is 1003077488. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9240 N MERIDIAN ST
SUITE 240
INDIANAPOLIS, IN
ZIP 46260-880
Phone: (317) 571-0030
Fax: (317) 571-0031

The provider's authorized official is Sameer Habib .
The authorized official title is Office Manager and has the following contact phone number (317) 571-0030.

The enumeration date for this NPI number is 6/19/2008 and was last updated on 2/4/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism01040236AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000000200129OTHERINDIANAANTHEM
2E13378MEDICARE UPININDIANA
3142280MEDICARE PININDIANA
4100358590BMEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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