Organization
PEDIATRIC CARDIOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMED SAAD GHAZALI MD (PHYSICIAN)
(260) 459-6100
Entity
Organization
Contact information
Practice address
5107 N BEND DR, FORT WAYNE, IN 46804-1753
(260) 459-6100
Mailing address
5107 N BEND DR, FORT WAYNE, IN 46804-1753
(260) 459-6100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01053679A
IN
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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