Polly Anne Moore
Internist - Cardiovascular Disease Advanced Heart Failure and Transplant Cardiologist
5330 E Stop 11 Rd
Indianapolis
, Indiana 46237-6345
Polly Anne Moore
Internist - Cardiovascular Disease Advanced Heart Failure and Transplant Cardiologist
5330 E Stop 11 Rd
Indianapolis
, Indiana 46237-6345
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About
Features
Specialties
- Advanced Heart Failure and Transplant Cardiologist
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- Polly Anne Moore
- Po Box 781076
- Detroit, MI
- Zip : 48278-1076
- Phone :
Second Address
- Polly Anne Moore
- 5330 E Stop 11 Rd
- Indianapolis, IN
- Zip : 46237-6345
- Fax : (317) 893-1869
- Phone : (317) 893-1900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 01057207A | IN |
| N | 207RC0000X | Internist - Cardiovascular Disease | 01057207A | IN |
National Provider Identifier
| NPI | 1356325369 |
|---|---|
| Provider Name | Polly Anne Moore |
| First Address | Detroit, MI 48278-1076 |
| Second Address | Indianapolis, IN 46237-6345 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/12/2005 |
| Last Update Date | 15/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200476670A | (05) | IN |
| I11686 | (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.