Dabagia, Mark D

Dabagia, Mark D is an individual health care provider with primary practice located at 11141 Parkview Plaza Dr Ste 325 , Fort Wayne IN 46845-1714. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Dabagia, Mark D can be contacted via phone (260) 425-5400.

Contact Information

Primary practice address
11141 Parkview Plaza Dr Ste 325 Fort Wayne IN 46845-1714
Fax: (260) 425-5417
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 01050387A Indiana

Profile Details

NPI number 1891795852
LBN Legal business name Dabagia, Mark D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Nov 15th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891795852 NPPES
Indiana MEDICAID 200212730
Indiana Other 000000653551
Indiana Other 000000653551
Indiana Other P00829121

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