Individual
DINESH AGNIHOTRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7916 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 434-6407
(260) 434-6395
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 434-6407
(260) 434-6395
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01066328A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000611564
ANTHEM
IN
05
—
200940170
—
IN
01
—
7139672
AETNA
IN
Enumeration date
12/22/2005
Last updated
11/08/2021
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