Isa S Canavati, MD
Neurological Surgery in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1952308413
StatusActive
Last updated in NPPESAug 13, 2025
Details
- NPI
- 1952308413
- Entity type
- Individual (NPI-1)
- Name
- Isa S Canavati
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 30, 2005
- Certification date
- Aug 13, 2025
- Last updated
- Aug 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery | 01035042A | IN | Yes |
Practice location
7956 W Jefferson BlvdFort Wayne, IN 46804-4140
Phone 260-436-2416 · Fax 260-436-6936
Mailing address
250 N Shadeland AveIndianapolis, IN 46219-4959
Other practice locations
4105 Dicke Rd
Fort Wayne, IN 46804-6135
Fort Wayne, IN 46804-6135
Phone 260-234-5400 · Fax 260-436-6936
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