Individual
JITENDRA SAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11109 PARKVIEW PLAZA DR., FORT WAYNE, IN 46845-1707
(260) 672-6620
(260) 672-6639
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01070764A
IN
207R00000X
Internal Medicine Physician
4301092336
MI
208M00000X
Hospitalist Physician
01070764A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000762679
ANTHEM
IN
05
—
201058600
—
IN
01
—
P01071809
R.R. MEDICARE
IN
Enumeration date
07/17/2008
Last updated
10/20/2022
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