Provider Demographics
NPI:1285765263
Name:MAHALINGASHETTY, ARPANA (MD)
Entity type:Individual
Prefix:DR
First Name:ARPANA
Middle Name:
Last Name:MAHALINGASHETTY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ARPANA
Other - Middle Name:
Other - Last Name:MAHALINGASHETTY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3926 NEW VISION DR BLDG H
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46845-1712
Mailing Address - Country:US
Mailing Address - Phone:260-266-8213
Mailing Address - Fax:260-458-5658
Practice Address - Street 1:11104 PARKVIEW CIRCLE DR STE 410
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46845-1672
Practice Address - Country:US
Practice Address - Phone:260-266-5230
Practice Address - Fax:260-266-5269
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MDD69214207R00000X
PAMD444127207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine