Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mahender Reddy Surakanti, MD

Individual provider Psychiatry Physician · NPI 1417940909

Mahender Reddy Surakanti, MD is a Psychiatry in Fort Wayne, Indiana. Qualified in 1990, 36 years ago. Practices as a sole proprietor, works from 2 locations and offers telehealth. Licensed in Indiana.

Years since qualifying
36
Licensed in
IN
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7806 W Jefferson Blvd Ste C
Fort Wayne, IN 46804
Phone: (260) 203-4188
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 800 Broadway Ste 208, Fort Wayne, IN 46802-2149 — (260) 425-3204

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 01057700A (IN)

Record details

NPI number1417940909
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 30, 2005
Last updated in NPPESMay 25, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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