Individual
GARY A. HAMBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11108 PARKVIEW CIRCLE DR., FORT WAYNE, IN 46845-1730
(260) 266-5700
(260) 266-5920
Mailing address
1234 E. DUPONT RD., SUITE 1, FORT WAYNE, IN 46825-1545
(260) 373-9728
(260) 458-5664
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01035039
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000087417
ANTHEM
IN
01
—
000000787561
ANTEHM
IN
05
—
0634540
—
OH
05
—
100203570
—
IN
01
—
110030671
RAILROAD
—
01
—
260690MMM
MEDICARE
IN
01
—
HA063511
MEDICARE
OH
01
—
P00783719
RAILROAD
IN
Enumeration date
01/19/2006
Last updated
11/02/2012
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