Individual provider · Type 1 NPI

Haitam Mohamad Buaisha, MD

Gastroenterology Physician · Fort Wayne, IN

NPI number 1558770743 Active

Practice location

11104 Parkview Circle Dr Ste 310
Fort Wayne, IN 46845-1733

Call (260) 266-5230 Map

Fax (260) 458-5972

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X7174 (NE)
Gastroenterology Physician 207RG0100X32530 (NE)
Gastroenterology Physician 207RG0100X33345 (WV)
Gastroenterology Physician Primary 207RG0100X01096804A (IN)

Gastroenterology Physician: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

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About NPI 1558770743

Haitam Mohamad Buaisha, MD's National Provider Identifier is 1558770743, issued on Aug 13, 2014. The primary taxonomy on file is Gastroenterology Physician (207RG0100X), and the practice location is in Fort Wayne, IN. The record was last updated on Sep 2, 2025.