IndividualActive
Alexander Antalis, MD
NPI 1891780292 · Emergency Medicine Physician · Fort Wayne, IN
Provider details
- NPI number
- 1891780292
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 01032122A (IN)
Practice location
2200 Randallia Dr
Fort Wayne, IN 46805-4638
Phone: (260) 373-4000
Fax: (260) 482-4442
Mailing address
3640 New Vision Dr
Fort Wayne, IN 46845-1717
Registry dates
- Enumerated
- 2005-09-13
- Last updated
- 2016-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.