Individual
GA-RAM HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11104 PARKVIEW CIRCLE DR STE 320, FORT WAYNE, IN 46845-1733
(260) 266-5300
(260) 266-5314
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
R76752
AZ
208C00000X
Colon & Rectal Surgery Physician
Primary
01093347A
IN
208C00000X
Colon & Rectal Surgery Physician
4351051190
MI
Other
Enumeration date
03/20/2018
Last updated
10/02/2024
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