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1952308413
ISA S CANAVATI
FORT WAYNE, IN
NPI
1952308413
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207T00000X Neurological Surgery
(Licence: IN 01035042A)
Enumeration Date
2005-06-30
Last Update Date
2023-10-05
Business Address
ISA S CANAVATI MD
7956 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4140
Phone number: 260-436-2416
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Mailing Address
ISA S CANAVATI MD
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number:
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