OrganizationActive
Omotayo Fawibe MD LLC
NPI 1295494029 · Preventive Medicine/Occupational Environmental Medicine Physician · Fort Wayne, IN
Provider details
- NPI number
- 1295494029
- Entity type
- Organization
- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Omotayo Fawibe, Owner(832) 606-7941
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
14726 Amera Cir
Fort Wayne, IN 46845-0027
Phone: (832) 606-7941
Approximate (ZIP-level) locationGet directions
Mailing address
14726 Amera Cir
Fort Wayne, IN 46845-0027
Registry dates
- Enumerated
- 2021-12-09
- Last updated
- 2021-12-09
- Certified
- 2021-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.