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Individual

TANVI VIRNAVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 266-1000
Mailing address
608 UNION CHAPEL RD, FORT WAYNE, IN 46845-9357
(260) 498-2020

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01086970A
IN
207P00000X
Emergency Medicine Physician
35.151407
OH
207Q00000X
Family Medicine Physician
01086970A
IN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/25/2019
Last updated
08/22/2024
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