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NPI Code Detail

MEDICARE: DR. THOMAS E MORAN M.D.

MEDICARE: DR. THOMAS E MORAN M.D.
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
1207Q00000XFamily Medicine Physician01020493AIN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1011068167AOTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2000000083183OTHERINANTHEM PIN
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700876505
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS E MORAN M.D.
Provider Business Mailing Address
First Line : 8404 SIEAR TER
Second Line : 206
City : INDIANAPOLIS
State : IN
Zip : 46227-7215
Country : US
Telephone Number : 317-889-4120
Fax Number : 317-889-4128
Provider Business Practice Location Address
First Line : 8404 SIEAR TER
Second Line : 206
City : INDIANAPOLIS
State : IN
Zip : 46227-7215
Country : US
Telephone Number : 317-889-4120
Fax Number : 317-889-4128
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2005
Last Update Date : 09/12/2007

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Directions to “ DR. THOMAS E MORAN M.D.” Practice Location

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