Organization
ALLIED PHYSICIANS INC
Active
Other names
Fort Wayne Neurology
Organization subpart
No
Provider details
NPI number
Authorized official
ISA S CANAVATI M.D. (PRESIDENT)
(260) 436-2416
Entity
Organization
Contact information
Practice address
2510 E DUPONT RD STE 226, FORT WAYNE, IN 46825-1603
(260) 460-3100
(260) 460-3130
Mailing address
7956 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 436-2416
(260) 436-9662
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
2084N0400X
Neurology Physician
Primary
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
—
2084V0102X
Vascular Neurology Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0515955
—
OH
05
—
100277310
—
IN
01
—
CC1549
RAILROAD MEDICARE
IN
Enumeration date
10/31/2005
Last updated
12/07/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us