Individual
DR. VANESSA YOHANA CAVERO CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11104 PARKVIEW CIRCLE DR STE 10, FORT WAYNE, IN 46845-1733
(260) 425-6070
(260) 425-6073
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
01092091A
IN
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
ME124128
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015136000
—
FL
Enumeration date
09/08/2010
Last updated
04/02/2025
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