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Organization

FT WAYNE CARDIAC INTEGRATIVE AND PRIMARY CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUBHASH REDDY MD (OWNER)
(260) 999-6924
Entity
Organization

Contact information

Practice address
7802 W JEFFERSON BLVD STE A, FORT WAYNE, IN 46804-4138
(260) 999-6924
(260) 222-2844
Mailing address
7802 W JEFFERSON BLVD STE A, FORT WAYNE, IN 46804-4138
(260) 999-6924
(260) 222-2844

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207RC0000X
Cardiovascular Disease Physician

Other

Enumeration date
01/09/2026
Last updated
04/10/2026
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