Organization
ALLIED PHYSICIANS INC
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up