Pratyusha Tantravahi, DO
Pratyusha Tantravahi, DO is a Family Practice in Fort Wayne, Indiana. Qualified in 2016, 10 years ago. Practices with Parkview Health System Inc, a 1,336-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and North Dakota.
- Years since qualifying
- 10
- Licensed in
- IN, ND
- In the registry since
- 2016
- Specialties on file
- 4
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
11109 Parkview Plaza DrFort Wayne, IN 46845-1701
Phone: (260) 266-2020
Fax: (260) 266-2009
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 501 Madison Ave, Scranton, PA 18510-2401 — (570) 343-2383
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 02006015A (IN) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 02006015 (IN) |
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 15769 (ND) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1295198414 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | DO |
| Sole proprietor | Yes |
| NPI enumerated | April 4, 2016 |
| Last updated in NPPES | October 14, 2022 |
| Certification date | October 14, 2022 |
| Mailing address | 11109 Parkview Plaza Dr, Mailbox 117, Fort Wayne, IN 46845 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | Parkview Health System Inc — 1336 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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