Individual
DIMITAR LUBOMIROV KRASTEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 672-6637
(260) 458-5355
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.076458
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
01097030A
IN
Other
Enumeration date
03/26/2020
Last updated
09/02/2025
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