Individual
ALAN M YAHANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11050 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845-1739
(833) 274-8326
(260) 266-7935
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01053134A
IN
208600000X
Surgery Physician
071202
GA
2086X0206X
Surgical Oncology Physician
2021000619
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104435249
—
MI
05
—
200280990
—
IN
05
—
2030304
—
OH
Enumeration date
08/02/2005
Last updated
06/10/2024
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