Blue Crescent Blue Star Medical of Indiana, INC
NPI #1235438185 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1235438185
- Entity Type
- Organization
- Organization Name
- Blue Crescent Blue Star Medical of Indiana, INC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Mar 17, 2011
- Last Updated
- Mar 17, 2011
Practice Location
- Address
- 2326 HOBSON RD
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46805-2916
- Phone
- (859) 823-0000
Authorized Official
- Name
- DR. SUNDIATA M EL-AMIN, M.D.
- Title
- OWNER
- Phone
- (859) 823-0000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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