Individual provider · NPI-1

Sebah Abdulaziz

Anesthesiologist Assistant · Fort Wayne, IN

NPI number1245726645
StatusActive
Last updated in NPPESOct 25, 2018

Details

NPI
1245726645
Entity type
Individual (NPI-1)
Name
Sebah Abdulaziz
Sex
Female
Sole proprietor
No
Enumeration date
Jul 9, 2018
Last updated
Oct 25, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367H00000X Anesthesiologist Assistant75000034AINYes

Practice location

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

Phone 260-425-6030 · Fax 260-425-6028

Mailing address

3702 New Vision Dr Bldg B
Fort Wayne, IN 46845-1703

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