Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HAITAM MOHAMAD BUAISHA, MD
ActiveHAITAM MOHAMAD BUAISHA, MD is a Gastroenterology healthcare provider located in FORT WAYNE, Indiana. NPI 1558770743 is currently active in the NPPES registry. Verify at CMS.
Gastroenterology · FORT WAYNE, IN
Registration Details
- NPI Number
- 1558770743
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 13, 2014 (12.03466550868 yrs)
- Last Updated
- Sep 2, 2025
- Licenses
-
7174 (NE)32530 (NE)33345 (WV)01096804A (IN)
Practice Information
- Address
-
11104 PARKVIEW CIRCLE DR STE 310FORT WAYNE, IN, 468451733Browse IN providers · Browse ZIP 46845
- Phone
- 2602665230
- Fax
- 2604585972
- Primary Specialty
-
Gastroenterology
207RG0100X
- Additional Specialty
- Gastroenterology
- Additional Specialty
- Gastroenterology
- Additional Specialty
- Gastroenterology
Other Gastroenterology Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| CHUNG SENG LEE | M.D. | 1093718249 |
| MICHAEL LLOYD BLUM | M.D. | 1134115165 |
| MARTIN J KAPLAN | M.D | 1164411203 |
| IMAD E HORANI | M.D. | 1902895949 |
| SUSHIL K. JAIN | MD | 1649247057 |
| ANDREW E. KATZ | MD | 1548237951 |
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.