Individual
JONATHAN T SHIRAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11108 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845
(260) 266-5700
(260) 266-5910
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01072142A
IN
207RC0000X
Cardiovascular Disease Physician
01072142A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
01072142A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201101920
—
IN
Enumeration date
07/10/2010
Last updated
06/03/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us