Individual
ADIL WANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 ARCADE AVE STE 400, ELKHART, IN 46514-2487
(574) 522-2284
(574) 522-3952
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-2129
(574) 237-6069
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT206382
PA
207RC0000X
Cardiovascular Disease Physician
Primary
01085478A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300049281
—
IN
Enumeration date
07/25/2014
Last updated
04/28/2023
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