National Provider Identifier Database

RAO V MANTRAVADI, MD – NPI #1194726927
Radiation Oncology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.


Contact Information

RAO V MANTRAVADI, MD
7910 W JEFFERSON BLVD STE 110
FORT WAYNE, IN46804-4159
Phone: 260-436-4116
Fax: 260-436-1878
Website:
Specialty Taxonomy Code
* Radiation Oncology 2085R0001X

* Indicates primary specialty

NPI Profile & details for RAO V MANTRAVADI

NPI Number 1194726927
Credentials MD
Entity Individual
Enumeration date 08/02/2005
Last updated 06/20/2016 - About 10 years ago
Sole proprietor1 No
Identifiers
  • IN License #: 01032697A
  • IN Medicaid: 100321360
  • MI Medicaid: 1194726927
  • OH Medicaid: 0573026
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for RAO V MANTRAVADI, MD

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