MEDICARE: DR. MOIZ AHMED 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
1	207RG0100X	Gastroenterology Physician	01086553A	IN
2	207R00000X	Internal Medicine Physician	291560	NY

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

General Provider Information

NPI Number	:	1750794244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOIZ AHMED M.D.

Provider Business Mailing Address
First Line	:	6626 E 75TH ST STE 500
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-2890
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8711 US 31
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46227-6252
Country	:	US
Telephone Number	:	317-887-7771
Fax Number	:

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

Provider Enumeration Date	:	06/03/2014
Last Update Date	:	01/27/2026

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Directions to “ DR. MOIZ AHMED M.D.” Practice Location

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