Individual
KUSHAL NAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11050 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845-1739
(260) 266-7100
(260) 266-7634
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
01096309A
IN
207RH0003X
Hematology & Oncology Physician
2018013793
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200056505
—
MO
Enumeration date
07/12/2014
Last updated
07/02/2025
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