Individual
DR. MOHAMMED SAAD GHAZALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8028 CARNEGIE BLVD STE 600, FORT WAYNE, IN 46804-5790
(260) 425-5950
(260) 266-5145
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
01053679A
IN
2080P0202X
Pediatric Cardiology Physician
Primary
01053679A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000200725
BLUE CROSS BLUE SHIELD
IN
01
—
163424
CHILDRENS SPECIAL HEALTH
IN
05
—
200318560
—
IN
05
—
2261574
—
OH
01
—
5440706
AETNA INSURANCE
IN
Enumeration date
08/02/2006
Last updated
01/18/2023
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