Paul Moore

NPI #1841461480 in Henderson, Kentucky

Provider Information

NPI Number: 1841461480
Entity Type: Organization
Organization Name: Paul Moore
Subpart: Yes (part of a larger organization)
Parent Organization: THE HEART GROUP
Primary Specialty: Family Medicine
Enumeration Date: Mar 21, 2008
Last Updated: Mar 21, 2008

Practice Location

Address: 2000 N ELM ST
Address 2: SUITE A
City: Henderson
State: Kentucky
ZIP Code: 42420-2385
Phone: (812) 464-0521

Authorized Official

Name: DR. SATYAM TATINENI, MD
Title: PRESIDENT OF MEDICAL GROUP
Phone: (812) 464-0521

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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