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Rao Vp Mantravadi, MD
Radiation Oncology Physician in Fort Wayne, Indiana
NPI 1194726927

Rao Vp Mantravadi is a Radiation Oncology Physician based in Fort Wayne, IN and is specialized in Radiation Oncology. Rao Vp Mantravadi practices in Fort Wayne, IN and has the professional credentials of MD. The NPI Number for Rao Vp Mantravadi is 1194726927 and holds a License No. 01032697A (Indiana).

The current practice location address for Rao Vp Mantravadi is 7910 W Jefferson Blvd Ste 110, Fort Wayne, IN and can be reached out via phone at 260-436-4116 and via fax at 260-436-1878.

Location: 7910 W Jefferson Blvd Ste 110, Fort Wayne, IN, 46804-4159
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Provider Profile Details
NPI Number
1194726927
Provider Name
Rao Vp Mantravadi
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
7910 W Jefferson Blvd Ste 110, Fort Wayne, IN, 46804-4159
Phone Number
260-436-4116
Fax Number
260-436-1878
Provider Enumeration Date
08/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100321360 05 IN
1194726927 05 MI
0573026 05 OH
institution
Provider Business Practice Location Address Details
Address
7910 W Jefferson Blvd Ste 110
City
State
Zip
46804-4159
Phone Number
260-436-4116
Fax Number
260-436-1878
person
Provider Business Mailing Address Details
Address
7910 W Jefferson Blvd Ste 110
City
State
Zip
46804-4159
Phone Number
260-436-4116
Fax Number
260-436-1878
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
License No.
01032697A (Indiana)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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