Organization · NPI-2

Allied Physicians INC

Psychiatry & Neurology, Neurology · Fort Wayne, IN

NPI number1609867605

StatusActive

Last updated in NPPESDec 7, 2018

Details

NPI: 1609867605
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 code	Description	License	State	Primary
2084N0400X	Psychiatry & Neurology, Neurology	–	–	Yes
2084S0012X	Psychiatry & Neurology, Sleep Medicine	–	–
2084V0102X	Psychiatry & Neurology, Vascular Neurology	–	–
363L00000X	Nurse Practitioner	–	–
163W00000X	Registered Nurse	–	–
2084N0402X	Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology	–	–

Other names

Fort Wayne Neurology (Doing Business As)

Practice location

2510 E Dupont Rd Ste 226
Fort Wayne, IN 46825-1603

Phone 260-460-3100 · Fax 260-460-3130

Mailing address

7956 W Jefferson Blvd
Fort Wayne, IN 46804-4140

Phone 260-436-2416 · Fax 260-436-9662

Other practice locations

7956 W Jefferson Blvd
Fort Wayne, IN 46804-4140

Phone 260-436-2416 · Fax 260-436-9662

7223 Engle Rd Ste 110b
Fort Wayne, IN 46804-2239

Phone 260-420-1935 · Fax 260-420-1876

Authorized official

Isa S Canavati
President
2604362416

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