Mahender Reddy Surakanti in Fort Wayne - Psychiatry
Mahender Reddy Surakanti - NPI 1417940909
Mahender Reddy Surakanti is a Psychiatry in Fort Wayne, Indiana. Mahender Reddy Surakanti practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Mahender Reddy Surakanti is 1417940909. The last update date is 2018-05-25.
Mahender Reddy Surakanti's current location address is 10214 Chestnut Plaza Dr # 306, Fort Wayne, Indiana. You can contact this provider via phone number 2602034188 and fax number 2602035136. The mailing address for Mahender Reddy Surakanti is 10214 Chestnut Plaza Dr # 306, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mahender Reddy Surakanti |
|---|---|
| Address | 10214 Chestnut Plaza Dr # 306, Fort Wayne, Indiana |
| Phone Number | 2602034188 |
| Fax Number | 2602035136 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1417940909 |
|---|---|
| Provider Enumeration Date | 2005-08-30 |
| Last Updated Date | 2018-05-25 |
Provider Mailing Address Detail
| Address | 10214 Chestnut Plaza Dr # 306 |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468148970 |
| Phone Number | 2602034188 |
| Fax Number | 2602035136 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 01057700A |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200442540A | IN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mahender Reddy Surakanti?
The Mahender Reddy Surakanti has been issued the NPI (National Provider Identifier) 1417940909 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Mahender Reddy Surakanti's facilities are situated?
The facilities of Mahender Reddy Surakanti are physically located at the following address: 10214 Chestnut Plaza Dr # 306, Fort Wayne, IN, 468148970.
What is the Mahender Reddy Surakanti's area of specialization and corresponding taxonomy classification?
The Mahender Reddy Surakanti's specialty field is Psychiatry, and it falls under the taxonomy code 2084P0800X, which categorizes healthcare providers based on their specialties.
When did the Mahender Reddy Surakanti receive its 1417940909?
The Mahender Reddy Surakanti was issued its 1417940909 on 2005-08-30, which is the date when the organization was assigned this unique identifier.
As of what date were the Mahender Reddy Surakanti's details last updated?
The information pertaining to the Mahender Reddy Surakanti, including its address, specialty, and other details, was most recently updated on 2018-05-25.