Individual
SANKET CHAUDHARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 RANDALLIA DR, FORT WAYNE, IN 46805-4638
(260) 373-7765
Mailing address
2200 RANDALLIA DR, FORT WAYNE, IN 46805-4638
(260) 373-7765
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11024503A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2025
Last updated
07/03/2025
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