SADAF BANGASH (NPI# 1609850486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609850486 |
| Entity Type | Individual |
| Full Name | SADAF BANGASH |
| Credential | M.D. |
| Practice Address |
512 Professional Way Kendallville IN 46755-2927 |
| Mailing Address |
3702 New Vision Dr Bldg B Fort Wayne IN 46845-1703 |
| Practice Telephone | 2603470977 |
| Practice Fax Number | 2603478204 |
| Mailing Telephone | 2603739700 |
| Mailing Fax Number | 2603739740 |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2018-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 01060392A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MEDICARE DMEPOS | 3937240001 | 01 |
| IN | 200515640 | 05 | |
| AETNA | 7911687 | 01 | |
| IN | PHYSICIANS HEALTH PLAN | 17796 | 01 |
| IN | ANTHEM | 000000362585 | 01 |
| IN | ANTHEM | 000000570553 | 01 |
| IN | RAILROAD MEDICARE | P00226337 | 01 |
| Street Address |
512 PROFESSIONAL WAY |
| City | KENDALLVILLE |
| State | IN |
| Zip Code | 46755-2927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841299674 | Richard P Toupin | Family Medicine | 512 Professional Way, Kendallville, IN 46755-2927 | 2005-07-14 |
| 1164917464 | Braion Chapman | Registered Nurse | 512 Professional Way, Kendallville, IN 46755 | 2018-06-28 |
| 1356854749 | Bridget Joseph | Registered Nurse | 512 Professional Way, Kendallville, IN 46755-2927 | 2017-11-08 |
| 1780053975 | Rachel Wilson | Nurse Practitioner | 512 Professional Way, Kendallville, IN 46755-2927 | 2015-09-18 |
| 1063586725 | Parkview Health System, Inc. | Durable Medical Equipment & Medical Supplies | 512 Professional Way, Kendallville, IN 46755-2927 | 2006-11-17 |
| 1548202179 | Gary P Brazel | Family Medicine | 512 Professional Way, Kendallville, IN 46755-2927 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700292422 | Dawn Levin | Physical Therapist | 1292 Drake Rd, Parkview Noble Therapy, Kendallville, IN 46755 | 2014-07-02 |
| 1679989495 | Elaine Patterson | Physical Therapist | 1292 Drake Rd., Parkview Noble Therapy, Kendallville, IN 46755 | 2014-07-02 |
| 1841606563 | Justin Todd Chaple | Physical Therapist | 1292 Drake Road, Parkview Noble Therapy, Kendallville, IN 46755 | 2014-07-02 |
| 1073802997 | Bryan William Smith | Counselor | 1930 Dowling St., Kendallville, IN 46755 | 2011-03-31 |
| 1417101247 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 124 E North St, Kendallville, IN 46755 | 2008-11-06 |
| 1770778367 | Assisted Living Concepts Inc | Assisted Living Facility | 2870 South Lima Road, Kendalville, IN 46755 | 2007-09-07 |
| 1629143805 | Kendallville Chiropractic Center Inc | Chiropractor | 1229 N Lima Rd, Kendallville, IN 46755 | 2006-11-22 |
| 1841307139 | Theodore L Deal Jr. | Dentist | 225 Fairview Blvd, Kendallville, IN 46755 | 2006-08-24 |
| 1467469858 | David Lee Holliday | Chiropractor | 930 West North St., Kendallville, IN 46755 | 2006-08-01 |
| 1699708370 | Vincent J Coda | Podiatrist | 410 E Mitchell St, Kendallville, IN 46755 | 2006-07-08 |
| Find all providers in zip 46755 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427067651 | Stanislawa Krystyna Koczorowska | Internal Medicine | 727 E North St, Kendallville, IN 46755-1225 | 2006-08-05 |
| 1124013578 | Abdali S. Jan | Internal Medicine | 610 N Sawyer Rd, Kendallville, IN 46755-2566 | 2005-09-13 |
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| 1508493669 | Md Healthcare Direct | Internal Medicine | 5330 Harrison Street, Merrillville, IN 46410-1465 | 2020-03-26 |
| 1386280923 | Spencer Wellness Centre LLC | Internal Medicine | 7202 E 71st St, Indianapolis, IN 46256-1904 | 2019-11-19 |
| 1982245593 | Melvin Jay Prince | Internal Medicine | Gennesaret Free Clinic 615 N Alabama St, Suite 136, Indianapolis, IN 46204 | 2019-10-04 |
| 1699321307 | Medical Consultants of Central Indiana LLC | Internal Medicine | 5252 E 82nd St Ste 300, Indianapolis, IN 46250-5704 | 2019-08-18 |
| 1235799909 | Emd Healthcare, LLC | Internal Medicine | 6582 W Deerfield Dr, Zionsville, IN 46077-7500 | 2019-06-16 |
| 1487217121 | Perry County Memorial Hospital | Internal Medicine | 559 Main St Ste 1, Rockport, IN 47635-1451 | 2019-04-18 |
| 1245797208 | Shaze Medical Group LLC | Internal Medicine | 1035 Wall Street Ste 104-c1, Jeffersonville, IN 47130-3602 | 2019-02-26 |
| 1881167997 | Jara Lynn Southerland | Internal Medicine | 10122 E 10th St Ste 220, Indianapolis, IN 46229-2664 | 2019-01-10 |
| Find all providers with the same taxonomy | ||||
| City | KENDALLVILLE |
| Zip Code | 46755 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.