Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANAMOL ACHARYA, MD
Deactivated Sole ProprietorANAMOL ACHARYA, MD is a Internal Medicine healthcare provider located in FORT WAYNE, Indiana. NPI 1629681499 is deactivated in the NPPES registry. Verify at CMS.
Internal Medicine · FORT WAYNE, IN
This NPI has been deactivated.
The record was deactivated on August 31, 2020.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1629681499
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2020
- Last Updated
- Aug 30, 2023
- Deactivated
- Aug 31, 2020
- Licenses
-
125075909 (IL)01089480A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11109 PARKVIEW PLAZA DRFORT WAYNE, IN, 468451701Browse IN providers · Browse ZIP 46845
- Phone
- 2606726620
- Fax
- 2606726639
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Internal Medicine
Other Internal Medicine Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| PREETI NANAK DEMBLA | M.D. | 1346248051 |
| MADHAVI CHILAKAMARRI | MD | 1013916394 |
| THOMAS S SCHUSSLER | M.D. | 1134128143 |
| DR. ANAYET UDDIN THAKUR | M.D. | 1467453936 |
| LINDA M LANDIN | MD | 1699767863 |
| TARIQ KAMAL SAMI | MD | 1528058039 |
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.