IndividualActive
Ambria Moten, M.D.
NPI 1558773408 · Surgical Oncology Physician · Fort Wayne, IN
Provider details
- NPI number
- 1558773408
- Entity type
- Individual
- Primary specialty
- Surgical Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- MT206256 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
11050 Parkview Circle Dr
Fort Wayne, IN 46845-1739
Phone: (833) 274-8326
Fax: (260) 266-7935
Approximate (ZIP-level) locationGet directions
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Registry dates
- Enumerated
- 2014-05-27
- Last updated
- 2023-10-02
- Certified
- 2023-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.