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

Ibrahim Khurram Nawaz, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457036022

Ibrahim Khurram Nawaz, MD is an Internal Medicine in Fort Wayne, Indiana. Qualified in 2021, 5 years ago. Licensed in Indiana.

Years since qualifying
5
Licensed in
IN
In the registry since
2023
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Phone: (260) 672-6620
Fax: (260) 672-6639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 01098325A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1457036022
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 20, 2023
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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