MAHENDER REDDY SURAKANTI

FORT WAYNE, IN
NPI1417940909
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IN  01057700A)
Enumeration Date2005-08-30
Last Update Date2018-05-25
Business Address
MAHENDER REDDY SURAKANTI MD
7806 W JEFFERSON BLVD STE C
FORT WAYNE, IN 46804
Phone number: 260-203-4188
Mailing Address
MAHENDER REDDY SURAKANTI MD
10214 CHESTNUT PLAZA DR # 306
FORT WAYNE, IN 46814-8970
Phone number: 260-203-4188
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