Organization
FORT WAYNE VASCULAR CARE LLC
Active
Other names
Nephrology Associates of Northern Indiana PC
Organization subpart
No
Provider details
NPI number
Authorized official
MANISH TANNA (MD)
(630) 573-5000
Entity
Organization
Contact information
Practice address
1833 MAGNAVOX WAY # 100, FORT WAYNE, IN 46804-1539
(260) 918-0997
(260) 436-7665
Mailing address
120 W 22ND ST, SUITE 200, OAK BROOK, IL 60523-1563
(630) 573-5000
(630) 368-0280
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/14/2019
Last updated
02/04/2026
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