Organization · NPI-2

Allied Physicians INC

Neurological Surgery · Fort Wayne, IN

NPI number1366433369
StatusActive
Last updated in NPPESDec 7, 2018

Details

NPI
1366433369
Entity type
Organization (NPI-2)
Legal business name
Allied Physicians INC
Organization subpart
No
Enumeration date
Oct 31, 2005
Last updated
Dec 7, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207T00000X Neurological Surgery––Yes
103G00000X Clinical Neuropsychologist––
1041C0700X Social Worker, Clinical––
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine––
2084N0400X Psychiatry & Neurology, Neurology––
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology––
2084V0102X Psychiatry & Neurology, Vascular Neurology––
363A00000X Physician Assistant––
363L00000X Nurse Practitioner––

Other names

  • Fort Wayne Neurosurgery (Doing Business As)

Practice location

7956 W Jefferson Blvd
Fort Wayne, IN 46804-4140

Phone 260-436-2416

Mailing address

7956 W Jefferson Blvd
Fort Wayne, IN 46804-4140

Phone 260-436-2416

Authorized official

Isa S Canavati
President
2604362416

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