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1417940909
MAHENDER REDDY SURAKANTI
FORT WAYNE, IN
NPI
1417940909
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: IN 01057700A)
Enumeration Date
2005-08-30
Last Update Date
2018-05-25
Business Address
MAHENDER REDDY SURAKANTI MD
7806 W JEFFERSON BLVD STE C
FORT WAYNE, IN 46804
Phone number: 260-203-4188
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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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