Syed R. Mumtaz
M.D. | Psychiatry | Child & Adolescent | 42+ years Exp
909 E State Blvd, Fort Wayne
Indiana, 46805-3404
260-481-2700 260-481-2717
Maps & DirectionsSyed R. Mumtaz is a Fort Wayne, Indiana based psychiatrist with 42 years of experience in Child & Adolescent. He completed his graduation in 1983. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Syed R. Mumtaz is 01049582A for Child & Adolescent in Indiana. His current practice location is 909 E State Blvd, Fort Wayne. Patients can reach him at 260-481-2700 or can fax him at 260-481-2717. Syed R. Mumtaz is M.D. in Child & Adolescent and his NPI number (Unique professional ID assigned by NPPES) is 1396718573.
Syed R. Mumtaz has done additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Complete Profile:
Syed R. Mumtaz speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Syed R. Mumtaz |
| Specialization: | Child & Adolescent |
| Gender: | Male |
| Credentials: | M.D. |
| Experience: | 42+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1983 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 909 E State Blvd, Fort Wayne,
Indiana, 46805-3404 |
| Phone: | 260-481-2700 |
| Fax: | 260-481-2717 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 6709866445 |
| Enrollment ID: | I20040726000052 |
| NPI Number: | 1396718573 |
| NPI Enumeration Date: | 09 Feb, 2006 |
| NPI Last Update On: | 23 Apr, 2012 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Syed R. Mumtaz are as mentioned below.
| License Number | Specialization | State | Status | |
| 01049582A | Child & Adolescent | Indiana | Primary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Syed R. Mumtaz is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Hancock Physician Network, Llc (8325952633) | 72 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Syed R. Mumtaz such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 200224110 | Medicaid | Indiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Syed R. Mumtaz
909 E State Blvd,
Fort Wayne, Indiana |
| Zip: | 46805-3404 |
| Phone Number: | 260-481-2700 |
| Fax Number: | 260-481-2717 |
Patients can reach Syed R. Mumtaz at
909 E State Blvd, Fort Wayne, Indiana or can
call to book an appointment on 260-481-2700.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.