National Provider Identifier Database

KENNETH K MOGHADAM, MD – NPI #1033120282
Reproductive Endocrinology

An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.


Contact Information

KENNETH K MOGHADAM, MD
11725 N ILLINOIS ST
SUITE 515
CARMEL, IN46032-3008
Phone: 317-814-4110
Fax: 317-814-4114
Website:
Specialty Taxonomy Code
* Reproductive Endocrinology 207VE0102X

* Indicates primary specialty

NPI Profile & details for KENNETH K MOGHADAM

NPI Number 1033120282
Credentials MD
Entity Individual
Enumeration date 08/11/2006
Last updated 04/30/2010 - About 16 years ago
Sole proprietor1 Yes
Identifiers
  • IN License #: 01051029A
  • IN Other: 000000366889 ANTHEM
Hospital affiliation n/a

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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