Organization
HOSPITAL CARE GROUP, P.C.
Active
Other names
PrimeCare Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KHURRUM A SHAIKH (OWNER)
(260) 344-4035
Entity
Organization
Contact information
Practice address
14417 ILLINOIS RD., STE B, FORT WAYNE, IN 46814
(260) 344-4035
(260) 969-9272
Mailing address
6435 W JEFFERSON BLVD, PMB 109, FORT WAYNE, IN 46804-6203
(260) 344-4035
(260) 969-9272
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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