Emd Live LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01075046B Issued in IN

Legal business name

EMD LIVE LLC

Practice address

1955 Chelmsford St
Carmel, IN 46032-4456

Phone

(317) 762-4843

NPI assigned

Dec 12, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

M M Noor US Shams

Title

Coo

Phone

(317) 762-4843

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1932614062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7349 TESTIMONY AVE APT 1D",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460334684",
            "telephone_number": "346-208-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 CHELMSFORD ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324456",
            "telephone_number": "317-762-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMD LIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "SHAMS",
        "authorized_official_first_name": "M M NOOR US",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "317-762-4843"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01075046B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Carmel, IN
• Providers in Carmel, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.