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Dr. Shiva Gauchan, MD
Internal Medicine Physician in Fort Wayne, Indiana
NPI 1275811457

Shiva Gauchan is a Internal Medicine Physician based in Fort Wayne, IN. Shiva Gauchan practices in Fort Wayne, IN and has the professional credentials of MD. The NPI Number for Shiva Gauchan is 1275811457 and holds a License No. 125055779 (Indiana).

The current practice location address for Shiva Gauchan is 11109 Parkview Plaza Dr., Fort Wayne, IN and can be reached out via phone at 260-672-6620 and via fax at 260-672-6639.

Location: 11109 Parkview Plaza Dr., Fort Wayne, IN, 46845-1701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275811457
Provider Name
Shiva Gauchan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11109 Parkview Plaza Dr., Fort Wayne, IN, 46845-1701
Phone Number
260-672-6620
Fax Number
260-672-6639
Provider Enumeration Date
07/22/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000766040 01 IN ANTHEM
institution
Provider Business Practice Location Address Details
Address
11109 Parkview Plaza Dr.
City
Fort Wayne
State
Indiana
Zip
46845-1701
Phone Number
260-672-6620
Fax Number
260-672-6639
person
Provider Business Mailing Address Details
Address
11109 Parkview Plaza Dr.
City
Fort Wayne
State
Indiana
Zip
46845-1701
Phone Number
260-672-6620
Fax Number
260-672-6639
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
036128601 (Illinois)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
125055779 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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