NPI 1285258053 · live from the CMS NPI Registry
Kenan Alibegovic, DO
Family Medicine in Fort Wayne, IN. National Provider Identifier 1285258053, active.
NPI record
| NPI | 1285258053 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 8607 Temple Dr, Fort Wayne, IN 46809 |
| Practice phone | 260-478-9220 |
| Mailing address | 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845 |
| Enumerated | June 8, 2020 |
| Last updated | August 30, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 02006464A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.