Individual
CARLOS MEJIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 672-6620
(260) 672-6639
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01089448A
IN
208M00000X
Hospitalist Physician
35.146299
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2020
Last updated
08/30/2023
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