Individual
DR. TAKEFUMI KOMIYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
11050 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845
(833) 724-8326
(260) 425-6845
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
01080171A
IN
207RX0202X
Medical Oncology Physician
305097
LA
Other
Enumeration date
07/03/2008
Last updated
07/06/2021
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