Sedaghat, Vahid-David
Sedaghat, Vahid-David is an individual health care provider with primary practice located at 3512 Stellhorn Rd , Fort Wayne IN 46815-4631. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Sedaghat, Vahid-David can be contacted via phone (260) 483-9081.Contact Information
Primary practice address
3512 Stellhorn Rd
Fort Wayne IN 46815-4631
Phone: (260) 483-9081
Fax: (260) 483-9196
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 01056095A | Indiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01056095A | Indiana |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 01056095A | Indiana |
Profile Details
| NPI number | 1972584043 |
|---|---|
| LBN Legal business name | Sedaghat, Vahid-David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Oct 20th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972584043 | NPPES |
| Indiana | MEDICAID | 200398430 | |
| Indiana | Other | 000000659555 |
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