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Dr. Hassan Taki, MD
Specialist in Fort Wayne, Indiana
NPI 1114911807

Hassan Taki is a Specialist based in Fort Wayne, IN. Hassan Taki practices in Fort Wayne, IN and has the professional credentials of MD. The NPI Number for Hassan Taki is 1114911807 and holds a License No. 01042585 (Indiana).

The current practice location address for Hassan Taki is 4424 E State Blvd, Fort Wayne, IN and can be reached out via phone at 260-483-4433 and via fax at 260-483-4223. You can also correspond with Hassan Taki through the mailing address at 4424 E STATE BLVD, FORT WAYNE, IN - 46815-6917 (mailing address contact number: 260-483-4433).

Location: 4424 E State Blvd, Fort Wayne, IN, 46815-6917
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Provider Profile Details
NPI Number
1114911807
Provider Name
Hassan Taki
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4424 E State Blvd, Fort Wayne, IN, 46815-6917
Phone Number
260-483-4433
Fax Number
260-483-4223
Provider Enumeration Date
09/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1924 01 IN PHYSCIANS HEALTH PLAN
3000054923 05 IN
1659549475 01 GROUP NPI
000000091432 01 IN BLUE CROSS/BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
4424 E State Blvd
City
State
Zip
46815-6917
Phone Number
260-483-4433
Fax Number
260-483-4223
person
Provider Business Mailing Address Details
Address
4424 E State Blvd
City
State
Zip
46815-6917
Phone Number
260-483-4433
Fax Number
260-483-4223
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
01042585 (Indiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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