Organization
SUMMIT ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMOD A AHMAD MD (GROUP MANAGER)
(317) 567-2180
Entity
Organization
Contact information
Practice address
700 BROADWAY, FORT WAYNE, IN 46802-1402
(260) 969-1950
(260) 969-0989
Mailing address
PO BOX 11535, FORT WAYNE, IN 46859-1535
(317) 567-2180
(317) 567-2191
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200843170A
—
IN
Enumeration date
10/11/2006
Last updated
01/08/2010
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