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Contact Information

VIMAL JAYSWAL, MD
11123 PARKVIEW PLAZA DR STE 200
FORT WAYNE, IN46845-1707
 Phone: 260-425-6100
 Fax: 260-425-6105
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for VIMAL JAYSWAL · (Male)

NPI Number 1124250915
Status Active
Credentials MD
Entity Individual
Enumeration date 08/13/2009
Last updated 10/10/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 01079115
  • IN License # 01079115A
  • OH License # 35.097422
  • OH Medicaid 0102438
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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