Dembla, Preeti Nanak

Dembla, Preeti Nanak is an individual health care provider with primary practice located at 11109 Parkview Plaza Dr , Fort Wayne IN 46845-1701. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Dembla, Preeti Nanak can be contacted via phone (260) 672-6620.

Contact Information

Primary practice address
11109 Parkview Plaza Dr Fort Wayne IN 46845-1701
Fax: (260) 672-6639
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 39332 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 39332 Tennessee
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD0000039332 Tennessee
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01066343 Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01066343A Indiana

Profile Details

NPI number 1346248051
LBN Legal business name Dembla, Preeti Nanak
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Sep 12th, 2022 - about 3 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 1346248051 NPPES
Indiana MEDICAID 200940150

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