Individual
IBRAHIM KHURRAM NAWAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2817 WESTBROOK DR, FORT WAYNE, IN 46805-2063
(260) 698-5033
Mailing address
2817 WESTBROOK DR APT 217, FORT WAYNE, IN 46805-2025
(260) 298-5033
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11023229A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/20/2023
Last updated
07/23/2023
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