Dr. Kenneth K Moghadam
Reproductive Endocrinologist
11725 N Illinois St Suite 515
Carmel
, Indiana 46032-3008
Dr. Kenneth K Moghadam
Reproductive Endocrinologist
11725 N Illinois St Suite 515
Carmel
, Indiana 46032-3008
(317) 814-4114
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About
Features
Specialties
- Reproductive Endocrinologist
Languages spoken
- English
Location
First Address
- Dr. Kenneth K Moghadam
- 11725 N Illinois St Suite 515
- Carmel, IN
- Zip : 46032-3008
- Fax : (317) 814-4114
- Phone : (317) 814-4110
Second Address
- Dr. Kenneth K Moghadam
- 11725 N Illinois St Suite 515
- Carmel, IN
- Zip : 46032-3008
- Fax : (317) 814-4114
- Phone : (317) 814-4110
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FAQs
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Is Dr. Kenneth K Moghadam a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VE0102X | Reproductive Endocrinologist | 01051029A | IN |
National Provider Identifier
| NPI | 1033120282 |
|---|---|
| Provider Name | Dr. Kenneth K Moghadam |
| First Address | Carmel, IN 46032-3008 |
| Second Address | Carmel, IN 46032-3008 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/08/2006 |
| Last Update Date | 30/04/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000366889 | ANTHEM (01) | IN |
| H71800 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.