Provider Demographics
NPI:1902960966
Name:APURI, BHAKTAVATSALA RAO (MD, FACC)
Entity type:Individual
Prefix:DR
First Name:BHAKTAVATSALA
Middle Name:RAO
Last Name:APURI
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Gender:M
Credentials:MD, FACC
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Mailing Address - Street 1:6920 POINTE INVERNESS WAY STE 200
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46804-7934
Mailing Address - Country:US
Mailing Address - Phone:260-479-3514
Mailing Address - Fax:260-479-3520
Practice Address - Street 1:800 BROADWAY STE 200
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46802-2149
Practice Address - Country:US
Practice Address - Phone:260-458-3410
Practice Address - Fax:260-458-3411
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2024-07-30
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Provider Licenses
StateLicense IDTaxonomies
IN01054665A207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease