Provider Demographics
NPI:1114716958
Name:VENKATAREDDY, ARPITHA (MBBS)
Entity type:Individual
Prefix:
First Name:ARPITHA
Middle Name:
Last Name:VENKATAREDDY
Suffix:
Gender:
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 RANDALLIA DRIVE, PARKVIEW HOSPITAL
Mailing Address - Street 2:DEPARTMENT OF GME
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46805-4699
Mailing Address - Country:US
Mailing Address - Phone:260-373-6727
Mailing Address - Fax:
Practice Address - Street 1:2200 RANDALLIA DRIVE, PARKVIEW HOSPITAL
Practice Address - Street 2:DEPARTMENT OF GME
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46805-4699
Practice Address - Country:US
Practice Address - Phone:260-373-6727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program