MEDICARE: SHASHI A CHINTA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	N9828	TX

General Provider Information

NPI Number	:	1346367448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHASHI A CHINTA MD

Provider Business Mailing Address
First Line	:	800 RIVERWOOD CT STE 100
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77304-2824
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 RIVERWOOD CT STE 100
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77304-2824
Country	:	US
Telephone Number	:	936-522-4000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	10/07/2014

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Directions to “ SHASHI A CHINTA MD” Practice Location

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