Individual provider · NPI-1

Yazan Adhami, AA

Anesthesiologist Assistant · Fort Wayne, IN

NPI number1073311940
StatusActive
Last updated in NPPESJul 11, 2025

Details

NPI
1073311940
Entity type
Individual (NPI-1)
Name
Yazan Adhami
Credential
AA
Sex
Male
Sole proprietor
No
Enumeration date
Mar 5, 2025
Certification date
Jul 11, 2025
Last updated
Jul 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367H00000X Anesthesiologist Assistant75000217AINYes

Practice location

11141 Parkview Plaza Dr Ste 200
Fort Wayne, IN 46845-1714

Phone 260-425-6030 · Fax 260-425-6027

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

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