RAO VP MANTRAVADI MD NPI 1194726927

NPI Information

NPI: 1194726927
Provider Name: RAO VP MANTRAVADI, MD
Classification: Radiology - 2085R0001X
Entity Type: Individual

Specialization: Radiation Oncology

Address:
7910 W JEFFERSON BLVD STE 110
FORT WAYNE, IN
ZIP 46804
Phone: (260) 436-4116
Get Directions

Rao Vp Mantravadi, MD is a radiation oncology radiology in Fort Wayne, IN. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. Rao Vp Mantravadi, MD NPI is 1194726927. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7910 W JEFFERSON BLVD STE 110
FORT WAYNE, IN
ZIP 46804-159
Phone: (260) 436-4116
Fax: (260) 436-1878

The enumeration date for this NPI number is 8/2/2005 and was last updated on 6/20/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0001X	Radiology	Radiation Oncology	01032697A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	0573026	MEDICAID	OHIO
2	132510C	MEDICARE PIN	INDIANA
3	D95412	MEDICARE UPIN	INDIANA
4	100321360	MEDICAID	INDIANA
5	1194726927	MEDICAID	MICHIGAN
6	300039786	MEDICARE PIN	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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