Mohammad Moizz Akhtar, D.O.

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Indianapolis, IN

NPI 1750031357 · NPPES record last updated Aug 2, 2026

Key facts

NPI
1750031357
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
License
11025110A (IN)
Practice address
640 Eskenazi Ave # F2-600
Indianapolis, IN 46202-5173
Phone
(317) 278-5570
NPI assigned
Mar 25, 2022
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220621003171 OH Order and Referring Only - Internal Medicine
Practitioner - Internal Medicine
1456730407

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 11025110A IN Yes

Addresses

Primary practice location

640 Eskenazi Ave # F2-600
Indianapolis, IN 46202-5173

Mailing address

640 Eskenazi Ave # F2-600
Indianapolis, IN 46202-5173
Phone (317) 278-5570

Other names

  • Mohammad Moizz Akhtar Other name

Other providers in Indianapolis, IN

All providers in Indianapolis, IN · Student in an Organized Health Care Education/Training Program in Indiana

Sources for this page

Verify at the official NPI Registry.