Organization
NEPHROLOGY ASSOCIATES OF NORTHERN INDIANA, INC
Active
Other names
NANI
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANISH M TANNA MD (PRESIDENT)
(630) 573-5000
Entity
Organization
Contact information
Practice address
11104 PARKVIEW CIRCLE DR STE 330, FORT WAYNE, IN 46845-1674
(260) 494-3484
(260) 969-0188
Mailing address
120 W 22ND ST STE 200, OAK BROOK, IL 60523-1563
(630) 573-5000
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100082060
—
IN
01
—
CA5480
GROUP MEDICARE RAILROAD
IN
Enumeration date
06/12/2006
Last updated
04/09/2026
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