IndividualActive
Alexander Mathai, M.D.
NPI 1104856608 · Internal Medicine Physician · Fort Wayne, IN
Provider details
- NPI number
- 1104856608
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 01062241 (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2121 Lake Ave
Fort Wayne, IN 46805-5100
Phone: (260) 526-5431
Approximate (ZIP-level) locationGet directions
Mailing address
12515 Golden Harvest Dr
Fort Wayne, IN 46845-9031
Additional practice locations (1)
- 12515 Golden Harvest DrCredentialing DepartmentFort Wayne, IN 46845-9031Phone: (217) 714-0220Fax: (260) 387-6194
Registry dates
- Enumerated
- 2006-07-03
- Last updated
- 2021-08-24
- Certified
- 2021-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.