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PRATYUSHA TANTRAVAHI, D.O.

D.O.

Family Medicine Physician

NPI: 1295198414IndividualAccepts Medicare

Specialties, Licenses & Credentials

Family Medicine PhysicianPrimary

Family Medicine

Code: 207Q00000X

02006015(IN)02006015A(IN)15769(ND)
Student in an Organized Health Care Education/Training Program

Student in an Organized Health Care Education/Training Program

Code: 390200000X

CMS Specialties

PrimaryFAMILY PRACTICE

Education

OTHER

Class of 2016

Contact & Hours

Via practice · 2 locations total

Address
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845

Quick Facts

NPI
1295198414
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
4
Locations
2
Years in Practice
10

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