The calculated distance (air line) between Tsaratanana and Imerintsiatosika is approximately 153 miles respectively 246 kilometers.
By car or train, the actual journey to Imerintsiatosika is certainly longer, as only the direct route (as the crow flies) between Tsaratanana and Imerintsiatosika has been calculated here.
Air line (approximately)
246 kilometers
133 nautical miles