Individual
AJIRU S NYAMBWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1316 E 7TH ST, AUBURN, IN 46706-2538
(260) 925-4600
(260) 482-4442
Mailing address
3640 NEW VISION DRIVE, SUITE A, FORT WAYNE, IN 46845-1717
(260) 482-4440
(260) 482-4442
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01076513A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201349650
—
IN
Enumeration date
05/01/2013
Last updated
02/13/2017
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