Whalio Doctors

NPI 1336482496

Mithun Mohana Shenoi, MD

Practitioner Colon & Rectal Surgery Physician Fort Wayne, IN

Practice location

Address
11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845
Phone
(260) 266-5300
Fax
(260) 266-5314
Mailing address
11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

Registered specialties

Colon & Rectal Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence 01079692A (IN)

Registry record

NPI
1336482496
Entity type
Individual
Sex (as registered)
Male
NPI issued
27 Mar 2013
Record last updated
16 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.