Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fort Wayne Brain & Spine Center LLC

Organization Neurological Surgery Physician · NPI 1043130651

Fort Wayne Brain & Spine Center LLC is a Neurological Surgery Physician in Fort Wayne, Indiana. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7900 W Jefferson Blvd Ste 302
Fort Wayne, IN 46804-4128
Phone: (111) 111-1111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X

Record details

NPI number1043130651
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shahnawaz Qureshi — Owner · (111) 111-1111
NPI enumeratedJuly 16, 2026
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026
Mailing address7910 W Jefferson Blvd Ste 205b, Fort Wayne, IN 46804-0072

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