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General NPI Number Information
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NPI Number | 1821471293
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Entity Type | Individual
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Provider Name | SOWJANYA NAHA M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/02/2015
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 11141 PARKVIEW PLAZA DR STE 310
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City | FORT WAYNE
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State | IN
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Zip | 46845-1714
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Country | US
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Telephone | 260-266-8840
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Fax | 260-266-8849
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Provider Business Mailing Address
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Address Line | 11109 PARKVIEW PLAZA DR # 117
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City | FORT WAYNE
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State | IN
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Zip | 46845-1701
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2018022307
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207RB0002X
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Taxonomy Name | Obesity Medicine (Internal Medicine) Physician
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License Number | 2018022307
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 2018022307
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number | 2018022307
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License Number State | MO
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Taxonomy #5
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 2018022307
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License Number State | MO
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Taxonomy #6
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 01096277A
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License Number State | IN
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