Fort Wayne Medical Institute

LBN: Fort Wayne Medical Institute
Fort Wayne Medical Institute is an health care organization with primary practice located at 4424 E State Blvd , Fort Wayne IN 46815-6917. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Fort Wayne Medical Institute can be contacted via phone (260) 483-4433, or through Taki, Hassan via phone (260) 483-4433.

Contact Information

Primary practice address
4424 E State Blvd Fort Wayne IN 46815-6917
Phone: (260) 483-4433
Fax: (260) 483-4223
Website:
Map and Directions
Authorized official contact:
Name: Taki, Hassan Doctor of Medicine (MD)
Phone: (260) 483-4433

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 01042585 Indiana

Profile Details

NPI number 1659549475
LBN Legal business name Fort Wayne Medical Institute
DBA Doing business as
Authorized official Taki, Hassan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2008
Last updated Dec 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1659549475 NPPES
Other 1114911807 PROVIDER NPI
MEDICAID 0963453 PROVIDER NPI

Popular Providers