Dr. Mohammed S Ghazali
Pediatric Cardiologist
8028 Carnegie Blvd Ste 500
Fort Wayne
, Indiana 46804-5788
Dr. Mohammed S Ghazali
Pediatric Cardiologist
8028 Carnegie Blvd Ste 500
Fort Wayne
, Indiana 46804-5788
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About
Features
Specialties
- Pediatric Cardiologist
Languages spoken
- English
Location
First Address
- Dr. Mohammed S Ghazali
- 3702 New Vision Dr Bldg B
- Fort Wayne, IN
- Zip : 46845-1703
- Phone :
Second Address
- Dr. Mohammed S Ghazali
- 8028 Carnegie Blvd Ste 500
- Fort Wayne, IN
- Zip : 46804-5788
- Fax : (260) 425-5945
- Phone : (260) 425-5950
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0202X | Pediatric Cardiologist | 01053679A | IN |
National Provider Identifier
| NPI | 1275540361 |
|---|---|
| Provider Name | Dr. Mohammed S Ghazali |
| First Address | Fort Wayne, IN 46845-1703 |
| Second Address | Fort Wayne, IN 46804-5788 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/08/2006 |
| Last Update Date | 12/12/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000200725 | BLUE CROSS BLUE SHIELD (01) | IN |
| 163424 | CHILDRENS SPECIAL HEALTH (01) | IN |
| 200318560 | (05) | IN |
| 2261574 | (05) | OH |
| 5440706 | AETNA INSURANCE (01) | IN |
| G56455 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.