Fort Wayne Primary Care LLC
NPI #1528707619 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1528707619
- Entity Type
- Organization
- Organization Name
- Fort Wayne Primary Care LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- May 27, 2022
- Last Updated
- May 27, 2022
Practice Location
- Address
- 7802 W JEFFERSON BLVD STE A
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46804-4138
- Phone
- (260) 999-6924
Authorized Official
- Name
- VISHAAL VEERULA, MD
- Title
- OWNER
- Phone
- (260) 999-6924
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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