IndividualActive
Chuck Nwakanma
NPI 1417984063 · Critical Care Medicine (Internal Medicine) Physician · Fort Wayne, IN
Provider details
- NPI number
- 1417984063
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 036-104042 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2200 Randallia Dr.
Fort Wayne, IN 46805-4738
Phone: (260) 373-6315
Fax: (260) 373-6348
Approximate (ZIP-level) locationGet directions
Mailing address
1234 E. Dupont Rd.
Fort Wayne, IN 46825-1545
Registry dates
- Enumerated
- 2006-06-27
- Last updated
- 2012-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.