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

Raja V Thotakura, MD

Individual provider Internal Medicine Physician · NPI 1578794491

Raja V Thotakura, MD is an Internal Medicine Physician in Fort Wayne, Indiana. Works from 4 locations. Licensed in Indiana, Washington and Wisconsin.

Licensed in
IN, WA, WI
In the registry since
2009
Specialties on file
4
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

11104 Parkview Circle Dr
Fort Wayne, IN 46845-1672
Phone: (260) 266-5230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 11104 Parkview Circle Dr, Fort Wayne, IN 46845-1672 — (260) 266-5230
  • 1615 Delaware St, Longview, WA 98632-2367 — (360) 414-2730
  • 1836 South Ave, La Crosse, WI 54601-5429 — (608) 782-7300

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 01083873A (IN)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD60648172 (WA)
Gastroenterology Physician Taxonomy 207RG0100X · Licence MD60648172 (WA)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 70108 (WI)

Record details

NPI number1578794491
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 28, 2009
Last updated in NPPESOctober 7, 2022
Certification dateOctober 7, 2022
Mailing address1115 Se 164th Ave, Dept. 358, Vancouver, WA 98683-9324

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