TAHIRA SAIFUDDIN (NPI# 1053388777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053388777 |
| Entity Type | Individual |
| Full Name | TAHIRA SAIFUDDIN |
| Credential | M.D. |
| Practice Address |
1818 Carew St Suite 110 Fort Wayne IN 46805-4788 |
| Mailing Address |
1234 E Dupont Rd Suite 1 Fort Wayne IN 46825-1545 |
| Practice Telephone | 2609697600 |
| Practice Fax Number | 2603734695 |
| Mailing Telephone | 2603739700 |
| Mailing Fax Number | 2603739740 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2020-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD23200 | ME | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
01061185 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MEDICARE RR | P00878854 | 01 |
| RAILROAD | P00286425 | 01 | |
| IN | ANTHEM | 000000382926 | 01 |
| OH | 2649567 | 05 | |
| IN | ANTHEM | 000000672226 | 01 |
| IN | 200800540 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 360 Broadway Ste 100, Bangor, ME 044013985 | 2079073550 | 2079073562 |
| Street Address |
1818 CAREW ST SUITE 110 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46805-4788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447257795 | P. Rao Gummadi | Anesthesiology | 1818 Carew St, Suite 220, Fort Wayne, IN 46805-4788 | 2005-07-01 |
| 1912393570 | Kelly Horn | Midwife | 1818 Carew St, Suite 300, Fort Wayne, IN 46805-4788 | 2015-04-10 |
| 1295141380 | Gynecologic Oncology of Northeast Indiana, LLC | Obstetrics & Gynecology | 1818 Carew St, Suite 250, Fort Wayne, IN 46805-4788 | 2014-07-09 |
| 1174802649 | Matthew L Runyan | Psychiatry & Neurology | 1818 Carew St, Suite 230, Fort Wayne, IN 46805-4788 | 2011-08-15 |
| 1861647000 | Patrick Andrew Macknick | Physician Assistant | 1818 Carew St, Suite 250, Fort Wayne, IN 46805-4788 | 2008-12-01 |
| 1013169275 | Jeri Ann Forrest | Social Worker | 1818 Carew St, Suite 230, Fort Wayne, IN 46805-4788 | 2008-10-21 |
| 1013179357 | Carol Pai Wain Garrean | Internal Medicine | 1818 Carew St, Suite 260, Fort Wayne, IN 46805-4788 | 2008-06-27 |
| 1922156512 | Robert W Miner | Psychiatry & Neurology | 1818 Carew St, Fort Wayne, IN 46805-4788 | 2007-01-08 |
| 1316011349 | Parkview Health System, Inc. | Durable Medical Equipment & Medical Supplies | 1818 Carew St, Suite 260, Fort Wayne, IN 46805-4792 | 2006-11-20 |
| 1801960596 | Parkview Health System, Inc. | Durable Medical Equipment & Medical Supplies | 1818 Carew St, Suite 240, Fort Wayne, IN 46805-4788 | 2006-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589546 | Connor Gemlick | Student in an Organized Health Care Education/Training Program | 1918 Carew St., Fort Wayne, IN 46805 | 2020-08-21 |
| 1710464086 | S.t.a.r. Care Services | Clinic/Center | 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 | 2018-07-19 |
| 1083122865 | Noel Shafi | Counselor | 3010 East State Boulevard, Fort Wayne, IN 46805 | 2018-01-16 |
| 1063963627 | Toni L Irby | Specialist | 3219 E State Blvd, Fort Wayne, IN 46805 | 2016-10-19 |
| 1639626211 | Logan Schwerer | Pharmacist | 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 | 2016-09-01 |
| 1063817104 | Michale Diane Rothgeb | Physical Therapy Assistant | 2200 Randollia Dr, Fort Wayne, IN 46805 | 2014-10-31 |
| 1124435789 | Julia I. Mcfann | Physical Therapist | 2200 Randalia Dr, Fort Wayne, IN 46805 | 2014-07-16 |
| 1083036974 | Capital Senior Living Properties 4, Inc. | Assisted Living Facility | 3320 East State Boulevard, Fort Wayne, IN 46805 | 2014-01-10 |
| 1356772396 | Alexander James Medical Supply | Durable Medical Equipment & Medical Supplies | 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 | 2013-12-02 |
| 1043595689 | Randy James Jennings | Pharmacist | 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 | 2011-10-14 |
| Find all providers in zip 46805 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790137115 | Abdinoor Medical LLC | Internal Medicine | 1819 Braemar Dr, Fort Wayne, IN 46814-9364 | 2016-07-09 |
| 1902895949 | Imad E Horani | Internal Medicine | 2231 Carew St, Fort Wayne, IN 46805-4713 | 2005-10-20 |
| 1164411203 | Martin J Kaplan | Internal Medicine | 3439 Hobson Rd, Fort Wayne, IN 46805-1617 | 2005-10-20 |
| 1285633552 | Leor David Roubein | Internal Medicine | 11104 Parkview Circle Dr Ste 310, Fort Wayne, IN 46845-1672 | 2005-07-19 |
| 1093718249 | Chung Seng Lee | Internal Medicine | 2622 Lake Ave, Fort Wayne, IN 46805-5410 | 2005-05-23 |
| 1043641475 | Zhaodong Li | Internal Medicine | 11104 Parkview Circle Dr Ste 310, Fort Wayne, IN 46845-1733 | 2013-12-11 |
| 1689933103 | Kaely S Bade | Internal Medicine | 11104 Parkview Circle Dr Ste 310, Fort Wayne, IN 46845-1733 | 2012-05-04 |
| 1407140015 | Chetan Mittal | Internal Medicine | 11050 Parkview Circle Dr, Fort Wayne, IN 46845 | 2011-06-01 |
| 1457669228 | Saurabh Gupta | Internal Medicine | 11104 Parkview Circle Dr, Suite 310, Fort Wayne, IN 46845-1672 | 2010-09-15 |
| 1902113830 | Mariajose Rojas De Leon | Internal Medicine | 11050 Parkview Circle Dr, Fort Wayne, IN 46845 | 2010-09-14 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46805 |
Please comment or provide details below to improve the information on TAHIRA SAIFUDDIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.