Individual
RAKESH K GUNTUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 672-6620
(260) 672-6639
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01074293A
IN
208M00000X
Hospitalist Physician
MD437715
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102400480
—
PA
Enumeration date
09/30/2008
Last updated
10/03/2022
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