HAITAM MOHAMAD BUAISHA

FORT WAYNE, IN
NPI1558770743
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
(Licence: IN  01096804A)
Additional Taxonomies207R00000X Internal Medicine
(Licence: NE  7174)
207RG0100X Internal Medicine, Gastroenterology
(Licence: NE  32530)
207RG0100X Internal Medicine, Gastroenterology
(Licence: WV  33345)
Enumeration Date2014-08-13
Last Update Date2025-09-02
Business Address
HAITAM MOHAMAD BUAISHA MD
11104 PARKVIEW CIRCLE DR STE 310
FORT WAYNE, IN 46845-1733
Phone number: 260-266-5230
Mailing Address
HAITAM MOHAMAD BUAISHA MD
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: