# ARIA MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396356887
- **Authorized official:** MONIKA JANE MARTIN (CLAIMS BILLING MANAGER)
- **Authorized official phone:** (260) 413-2208

## Contact information

- **Practice address:** 2418 LAKE AVE, FORT WAYNE, IN 46805-5406
- **Practice address phone:** (260) 422-4757
- **Practice address fax:** (260) 422-8375
- **Mailing address:** 2418 LAKE AVE, FORT WAYNE, IN 46805-5406
- **Mailing address phone:** (260) 422-4757
- **Mailing address fax:** (260) 422-8375

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/10/2020
- **Last updated:** 08/18/2020