The calculated distance (air line) between Miandrarivo and Imerintsiatosika is approximately 48 miles respectively 78 kilometers.
By car or train, the actual journey to Imerintsiatosika is certainly longer, as only the direct route (as the crow flies) between Miandrarivo and Imerintsiatosika has been calculated here.
Air line (approximately)
78 kilometers
42 nautical miles