Individual
IMAD E HORANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2231 CAREW ST, FORT WAYNE, IN 46805-4713
(260) 266-5230
(260) 373-9393
Mailing address
1234 E DUPONT RD, SUITE 3, FORT WAYNE, IN 46825-1545
(260) 373-7875
(260) 373-9705
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01034917
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000084166
BCBS PROVIDER NUMBER
IN
01
—
000000638370
ANTHEM
IN
01
—
100006559
RAILROAD MEDICARE
IN
05
—
100331610
—
IN
01
—
2765686001
CIGNA PROVIDER NUMBER
IN
05
—
3019003
—
OH
01
—
4047092
AETNA PROVIDER NUMBER
IN
01
—
P00785645
MEDICARE RR
IN
Enumeration date
10/20/2005
Last updated
09/23/2013
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