Rustagi, Prevesh K
Rustagi, Prevesh K is an individual health care provider with primary practice located at 3400 E Coliseum Blvd Suite 340, Fort Wayne IN 46805-1644. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Rustagi, Prevesh K can be contacted via phone (260) 484-1312.Contact Information
Primary practice address
3400 E Coliseum Blvd Suite 340
Fort Wayne IN 46805-1644
Phone: (260) 484-1312
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 01035370A | Indiana |
Profile Details
| NPI number | 1245237411 |
|---|---|
| LBN Legal business name | Rustagi, Prevesh K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2005 |
| Last updated | Nov 15th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245237411 | NPPES |
| Indiana | MEDICAID | 100081540A |
Popular Providers
-
Mahmood, Ahsan
1720 Beacon St , Fort Wayne IN 46805-4749 -
Maddela, Daniel E
1720 Beacon St , Fort Wayne IN 46805-4749 -
Rezvani, Houshmand
909 E State Blvd , Fort Wayne IN 46805-3404 -
Iqbal, Ajaz
909 E State Blvd , Fort Wayne IN 46805-3404 -
Pancner, Ronald J
2805 Fairfield Ave , Fort Wayne IN 46807-1218 -
Ahmad, Hani
1720 Beacon St , Fort Wayne IN 46805-4749 -
Marshall, Don A
3010 E State Blvd Sutie 100, Fort Wayne IN 46805-4700 -
Lambertson, Larry H.
909 E State Blvd , Fort Wayne IN 46805-3404