Individual
DR. PREVESH K RUSTAGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 E COLISEUM BLVD, SUITE 340, FORT WAYNE, IN 46805-1644
(260) 484-1312
Mailing address
3400 E COLISEUM BLVD, SUITE 340, FORT WAYNE, IN 46805-1644
(260) 484-1312
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01035370A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100081540A
—
IN
Enumeration date
07/03/2005
Last updated
11/15/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us