SHAH FAISAL

FORT WAYNE, IN
NPI1134092851
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IN  28274111A)
Enumeration Date2025-09-29
Last Update Date2025-09-29
Business Address
SHAH FAISAL
1005 ALMDALE DR
FORT WAYNE, IN 46818-8427
Phone number: 260-804-0792
Mailing Address
SHAH FAISAL
1005 ALMDALE DR
FORT WAYNE, IN 46818-8427
Phone number: 260-804-0792
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