MEDICARE: DR. STEPHEN JAMES MOORADIAN 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	208000000X	Pediatrics Physician	MD-33317	IA
2	2080P0202X	Pediatric Cardiology Physician	33317	IA
3	2080P0202X	Pediatric Cardiology Physician	MD-33317	IA

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	:	1902888613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN JAMES MOORADIAN M.D.

Provider Business Mailing Address
First Line	:	200 HAWKINS DR
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52242-1009
Country	:	US
Telephone Number	:	515-288-1097
Fax Number	:

Provider Business Practice Location Address
First Line	:	330 LAUREL ST
Second Line	:	SUITE 2200
City	:	DES MOINES
State	:	IA
Zip	:	50314-3034
Country	:	US
Telephone Number	:	515-288-1097
Fax Number	:	515-288-2847

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

Provider Enumeration Date	:	11/17/2005
Last Update Date	:	01/12/2021

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Directions to “ DR. STEPHEN JAMES MOORADIAN M.D.” Practice Location

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