Organization · NPI-2

Allied Physicians INC

Psychiatry & Neurology, Neurology · Fort Wayne, IN

NPI number1689995334

StatusActive

Last updated in NPPESDec 7, 2018

Details

NPI: 1689995334
Entity type: Organization (NPI-2)
Legal business name: Allied Physicians INC
Organization subpart: No
Enumeration date: Jun 17, 2010
Last updated: Dec 7, 2018

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2084N0400X	Psychiatry & Neurology, Neurology	–	–	Yes
103G00000X	Clinical Neuropsychologist	–	–
207T00000X	Neurological Surgery	–	–
2081P2900X	Physical Medicine & Rehabilitation, Pain Medicine	–	–
208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)	–	–
363A00000X	Physician Assistant	–	–
363L00000X	Nurse Practitioner	–	–

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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