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Contact Information

MOHAMMED S GHAZALI, MD
8028 CARNEGIE BLVD STE 600
FORT WAYNE, IN46804-5790
 Phone: 260-425-5950
 Fax: 260-266-5145
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for MOHAMMED S GHAZALI · (Male)

NPI # 1275540361
Status Active
Credentials MD
Entity Individual
Enumeration date 08/02/2006
Last updated 01/18/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01053679A
  • IN Medicaid 200318560
  • OH Medicaid 2261574
  • IN Other 5440706 AETNA INSURANCE
  • IN Other 000000200725 BLUE CROSS BLUE SHIELD
  • IN Other 163424 CHILDRENS SPECIAL HEALTH
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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