| Abdinoor Medical Llc | |
|
1819 Braemar Dr Fort Wayne IN 46814-9364 | |
| (314) 749-0863 | |
| Not Available |
| Full Name | Abdinoor Medical Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1819 Braemar Dr, Fort Wayne, Indiana |
| Authorized Official Name and Position | Abdillahi M Abdinoor (OWNER) |
| Authorized Official Contact | 3147490863 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abdinoor Medical Llc 1819 Braemar Dr Fort Wayne IN 46814-9364 Ph: (314) 749-0863 | Abdinoor Medical Llc 1819 Braemar Dr Fort Wayne IN 46814-9364 Ph: (314) 749-0863 |
| NPI Number | 1790137115 |
|---|---|
| Provider Enumeration Date | 07/09/2016 |
| Last Update Date | 07/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790137115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 01076014A (Indiana) | Primary |
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