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Contact Information

WANDA R MOODY, MD
9800 WESTPOINT DRIVE
SUITE 100
INDIANAPOLIS, IN46256
 Phone: 317-585-5050
 Fax: 317-585-5040
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Occupational Medicine

2083X0100X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for WANDA R MOODY · (Female)

NPI Number 1912073172
Status Active
Credentials MD
Entity Individual
Enumeration date 11/28/2006
Last updated 07/13/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01046742A
Hospital affiliation(s)
  • IU HEALTH WEST HOSPITAL - (Acute Care)
    1111 N RONALD REAGAN PKWY
    AVON, IN 46123
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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