Kenneth K Moghadam M.D.

NPI 1033120282 - Obstetrics & Gynecology - 207VE0102X

NPI Details
NPI 1033120282
Gender Male
Enumeration Date 08/11/2006
Last Updated 04/30/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
11725 N ILLINOIS ST
SUITE 515
CARMEL IN, 46032-3008, US
Phone (317) 814-4110
Fax (317) 814-4114
Business Location
11725 N ILLINOIS ST
SUITE 515
CARMEL IN, 46032-3008, US
Phone (317) 814-4110
Fax (317) 814-4114
Toxanomy
Taxonomy Code 207VE0102X
License State Indiana
License Number 01051029A
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According to our database, Dr. Kenneth K Moghadam M.D. NPI is 1033120282, taxonomy code is 207VE0102X and license number is 01051029A, license state is located at Indiana. Kenneth K Moghadam M.D. physically located at 11725 N Illinois St, Carmel IN, 46032-3008. NPI Number Kenneth K Moghadam M.D. has the Individual type.

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1033120282 NPI number is provided on an as is basis without warranty of any kind. 1033120282 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth K Moghadam M.D. are for informational purposes only.