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General NPI Number Information
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NPI Number | 1902800493
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Entity Type | Individual
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Provider Name | RAMANA S MOORTHY MD
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Gender | Male
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Dates
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Enumeration Date | 06/13/2005
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 12794 HAMILTON CROSSING BLVD
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City | CARMEL
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State | IN
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Zip | 46032-5422
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Country | US
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Telephone | 317-571-1501
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Fax | 317-571-4806
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Provider Business Mailing Address
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Address Line | 10585 N MERIDIAN ST STE 100
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City | CARMEL
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State | IN
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Zip | 46290-1066
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Country | US
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Telephone | 317-571-1501
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Fax | 317-571-4806
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 01037732A
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License Number State | IN
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