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1487142527

NPI Code Detail

MEDICARE: HARIS ALI NOORANI MD

MEDICARE: HARIS ALI NOORANI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	01086084A	IN
2	390200000X	Student in an Organized Health Care Education/Training Program

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	M22404238	OTHER	IN	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	000001556758	OTHER	IN	ANTHEM PTAN
4	P02650263	OTHER	IN	RAILROAD PTAN

General Provider Information

NPI Number	:	1487142527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARIS ALI NOORANI MD

Provider Business Mailing Address
First Line	:	250 N SHADELAND AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-4959
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2401 W UNIVERSITY AVE
Second Line	:
City	:	MUNCIE
State	:	IN
Zip	:	47303-3428
Country	:	US
Telephone Number	:	765-741-1515
Fax Number	:	765-751-5087

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2018
Last Update Date	:	03/03/2026

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Directions to “ HARIS ALI NOORANI MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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