DR. SYED SOHAIL (NPI# 1053523910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053523910 |
| Entity Type | Individual |
| Full Name | DR. SYED SOHAIL |
| Other Name | SYED SOHAIL |
| Credential | M.D.MPH.MBA |
| Practice Address |
3411 N Anthony Blvd Suite 2 Fort Wayne IN 46805-2233 |
| Mailing Address |
1331 Sycamore Hills Pkwy Fort Wayne IN 46814-9339 |
| Practice Telephone | 2604715777 |
| Practice Fax Number | 2604802689 |
| Mailing Telephone | 2602499779 |
| Mailing Fax Number | 2606255924 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2017-05-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 4301069245 | MI | Allopathic & Osteopathic Physicians |
| N | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 01059980A | IN | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 4301069245 | MI | Allopathic & Osteopathic Physicians |
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
4301069245 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
01059980A | IN | Allopathic & Osteopathic Physicians |
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
4301069245 | MI | Allopathic & Osteopathic Physicians |
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
01059980A | IN | Allopathic & Osteopathic Physicians |
| N | 202C00000X | Independent Medical Examiner | 4301069245 | MI | Allopathic & Osteopathic Physicians |
| N | 202C00000X | Independent Medical Examiner | 01059980A | IN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356831259 | Syed Shahzaib Sohail | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave, Philadelphia, PA 19152-2096 | 2018-05-16 |
| Street Address |
3411 N ANTHONY BLVD SUITE 2 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46805-2233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295811305 | Samuel Ray Simmons | Optometrist | 3411 N Anthony Blvd, Fort Wayne, IN 46805-2233 | 2006-10-31 |
| 1124023692 | George Wehrs Irmscher | Surgery | 3411 N Anthony Blvd, Fort Wayne, IN 46805-2233 | 2005-06-20 |
| 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 | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1376556209 | Iraida M Lainez | Internal Medicine | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2006-08-14 |
| 1194705269 | Ann Margaret Moore | Internal Medicine | 800 Broadway, Suite 115, Fort Wayne, IN 46802-2149 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560491 | Advanced Medical Strategies LLC | Internal Medicine | 3646 Wirth Rd, Highland, IN 46322-2218 | 2020-08-28 |
| 1508309295 | M Care Pllc | Internal Medicine | 443 Spring St Ste 2, Jeffersonville, IN 47130-4495 | 2016-11-29 |
| 1982054664 | Tooba Tariq | Internal Medicine | 720 Eskenazi Ave Ste F2-600, Indianapolis, IN 46202-5187 | 2016-06-14 |
| 1154663763 | Alexander C. Gatzimos Md Jd | Internal Medicine | 2050 E Ireland Rd, South Bend, IN 46614-2909 | 2013-03-21 |
| 1962717348 | Neshahthari Wijeyakuhan | Internal Medicine | 1400 N Ritter Ave Ste 231, Indianapolis, IN 46219-3099 | 2010-08-10 |
| 1972741338 | Duan Lamont Pierce | Internal Medicine | 1333 Walston Ct, Indianapolis, IN 46260-3371 | 2009-01-22 |
| 1063659688 | Tochukwu C Iloabuchi | Internal Medicine | 6677 W May Apple Dr, Mccordsville, IN 46055-4447 | 2009-01-20 |
| 1073783627 | Dr Housecall | Internal Medicine | 4008 E New York St, Indianapolis, IN 46201-3662 | 2008-03-10 |
| 1275667677 | Wound Care Specialists of Indiana PC | Internal Medicine | 1200 W Carmel Dr Ste 103, Carmel, IN 46032-8707 | 2007-03-15 |
| 1417082520 | Jeff C Darnell | Internal Medicine | 3829 East 126th Street, Carmel, IN 46033-3151 | 2007-02-22 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46805 |
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| 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.