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Sreenivasa R Nattam, MD
Hematology & Oncology Physician in Fort Wayne, Indiana
NPI 1982606893

Sreenivasa R Nattam is a Hematology & Oncology Physician based in Fort Wayne, IN and is specialized in Hematology & Oncology. Sreenivasa R Nattam practices in Fort Wayne, IN and has the professional credentials of MD. The NPI Number for Sreenivasa R Nattam is 1982606893 and holds a License No. 01030857A (Indiana).

The current practice location address for Sreenivasa R Nattam is 2514 E Dupont Rd Ste 100, Fort Wayne, IN and can be reached out via phone at 260-484-8830 and via fax at 260-483-1911.

Location: 2514 E Dupont Rd Ste 100, Fort Wayne, IN, 46825-1619
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Provider Profile Details
NPI Number
1982606893
Provider Name
Sreenivasa R Nattam
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2514 E Dupont Rd Ste 100, Fort Wayne, IN, 46825-1619
Phone Number
260-484-8830
Fax Number
260-483-1911
Provider Enumeration Date
08/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000693428 01 IN ANTHEM
100333300 05 IN
3056768 05 OH
institution
Provider Business Practice Location Address Details
Address
2514 E Dupont Rd Ste 100
City
State
Zip
46825-1619
Phone Number
260-484-8830
Fax Number
260-483-1911
person
Provider Business Mailing Address Details
Address
2514 E Dupont Rd Ste 100
City
State
Zip
46825-1619
Phone Number
260-484-8830
Fax Number
260-483-1911
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
License No.
01030857A (Indiana)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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