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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

OMOTAYO FAWIBE MD LLC

Active Organization

OMOTAYO FAWIBE MD LLC is a Preventive Medicine organization located in FORT WAYNE, Indiana. NPI 1295494029 is currently active in the NPPES registry. Verify at CMS.

Preventive Medicine · FORT WAYNE, IN

Registration Details

NPI Number
1295494029
Provider Type
Organization
NPI Issued
Dec 9, 2021 (4.70077187702 yrs)
Last Updated
Dec 9, 2021

Practice Information

Address
14726 AMERA CIR
FORT WAYNE, IN, 468450027
Browse IN providers · Browse ZIP 46845
Phone
8326067941
Primary Specialty
Preventive Medicine
2083P0500X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.