Moallem, Moayyed
Moallem, Moayyed is an individual health care provider with primary practice located at 1210 Medical Arts Blvd Ste 214 , Anderson IN 46011-3439. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Moallem, Moayyed can be contacted via phone (765) 298-4300.Contact Information
Primary practice address
1210 Medical Arts Blvd Ste 214
Anderson IN 46011-3439
Phone: (765) 298-4300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 01066336A | Indiana |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 01066336A | Indiana |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 01066336A | Indiana |
Profile Details
| NPI number | 1760445050 |
|---|---|
| LBN Legal business name | Moallem, Moayyed |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2006 |
| Last updated | Aug 3rd, 2020 - about 6 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 | 1760445050 | NPPES |
| Indiana | MEDICAID | 200947060 | |
| Indiana | Other | 000000620348 |
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