Dr. Sampath K. Santhanam Ethiraj M.B.B.S
Internal Medicine Physician in Fort Wayne, IN(View on Map)
Full Name
Dr. Sampath Kumar Santhanam Ethiraj M.B.B.S
NPI Number
1700033727
NPI Type
Individual Provider
Gender
Male
Enumeration Date
08/20/2008
Specialties
(Taxonomies)Licenses
State
Indiana
Michigan
License Number
01072529A
4301092338
Contact
Information
Purpose
Mailing
Location
Address
11109 PARKVIEW PLAZA DR # 117
11109 PARKVIEW PLAZA DR
City
Fort Wayne
Fort Wayne
State
IN
IN
Postal Code
46845-1701
46845-1701
Country
US
US
Telephone Number
N/A
(260) 672-6620
Health Information Exchange
Endpoint Type
FHIR
DIRECT
FHIR
Endpoint
https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
sethiraj70263@Direct.Parkviewexchange.com
https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/
Endpoint Description
Unknown
Unknown
Unknown
Use
Unknown
Unknown
Unknown
Content Type
Unknown
Unknown
Unknown
Affiliation
N
N
N
Endpoint Location
11109 Parkview Plaza DrFort Wayne, IN468451701US
11109 Parkview Plaza DrFort Wayne, IN468451701US
11109 Parkview Plaza DrFort Wayne, IN468451701US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/03/2022
Provider Address
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