Provider Demographics
NPI:1801692561
Name:ALABI, MOSES ADEFISIOLA
Entity type:Individual
Prefix:
First Name:MOSES
Middle Name:ADEFISIOLA
Last Name:ALABI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4313 WOODLAND DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46254-1938
Mailing Address - Country:US
Mailing Address - Phone:317-529-6000
Mailing Address - Fax:
Practice Address - Street 1:4313 WOODLAND DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46254-1938
Practice Address - Country:US
Practice Address - Phone:317-529-6000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care