Abdinoor Medical Llc | |
1819 Braemar Dr Fort Wayne IN 46814-9364 | |
(314) 749-0863 | |
Not Available |
Full Name | Abdinoor Medical Llc |
---|---|
Speciality | Internal Medicine - Gastroenterology |
Location | 1819 Braemar Dr, Fort Wayne, Indiana |
Authorized Official Name and Position | Abdillahi M Abdinoor (OWNER) |
Authorized Official Contact | 3147490863 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Abdinoor Medical Llc 1819 Braemar Dr Fort Wayne IN 46814-9364 Ph: (314) 749-0863 | Abdinoor Medical Llc 1819 Braemar Dr Fort Wayne IN 46814-9364 Ph: (314) 749-0863 |
NPI Number | 1790137115 |
---|---|
Provider Enumeration Date | 07/09/2016 |
Last Update Date | 07/09/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790137115 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 01076014A (Indiana) | Primary |
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