FRED DOLORESCO MD NPI 1659373066

NPI Information

NPI: 1659373066
Provider Name: FRED DOLORESCO, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN
ZIP 46845
Phone: (260) 266-5700
Get Directions

Fred Doloresco, MD is a cardiovascular disease internal medicine in Fort Wayne, IN. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Fred Doloresco, MD NPI is 1659373066. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN
ZIP 46845-730
Phone: (260) 266-5700
Fax: (260) 266-5920

The enumeration date for this NPI number is 8/15/2005 and was last updated on 9/23/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	01033928A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	060070575	OTHER	INDIANA	RR MEDICARE
2	P00793604	OTHER	INDIANA	R.R. MEDICARE
3	193590D	MEDICARE PIN	INDIANA
4	000000641073	OTHER	INDIANA	ANTHEM
5	060070575	MEDICARE PIN	INDIANA
6	0568952	MEDICAID	OHIO
7	A01457	MEDICARE UPIN	INDIANA
8	100146050	MEDICAID	INDIANA
9	193580D	MEDICARE PIN	INDIANA
10	264380R	MEDICARE PIN	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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