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

DR. AUDREY FAWN SOFAIR, MD

Active Sole Proprietor

DR. AUDREY FAWN SOFAIR, MD is a Physical Medicine & Rehabilitation healthcare provider located in FORT WAYNE, Indiana. NPI 1326139833 is currently active in the NPPES registry. Verify at CMS.

Physical Medicine & Rehabilitation · FORT WAYNE, IN

Registration Details

NPI Number
1326139833
Provider Type
Individual
Gender
Female
NPI Issued
Sep 28, 2006 (19.914278100533 yrs)
Last Updated
Mar 2, 2023
Licenses
194228 (NY)
01082071A (IN)
Sole Proprietor
Yes

Practice Information

Address
11123 PARKVIEW PLAZA DR STE 201
FORT WAYNE, IN, 468451707
Browse IN providers · Browse ZIP 46845
Phone
2604255950
Fax
2604255165
Primary Specialty
Physical Medicine & Rehabilitation
208100000X

Other Physical Medicine & Rehabilitation Providers in FORT WAYNE, IN

Name Credential NPI
DR. THOMAS L LAZOFF M.D. 1457354433
DAVID S STENSLAND M.D. 1023011004
MARK E ZOLMAN M.D. 1467455436
BRYAN DALE KAPLANSKY M.D. 1790780005
DAVID J. LUTZ M.D. 1811994213
ERIC M. SCHREIER DO 1386641587
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.