Healthcare Provider Details

I. General information

NPI: 1891844338
Provider Name (Legal Business Name): VENKAT KRISHNA CHINTAPALLY-RAO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: VENKAT KRISHNA RAO-CHINTAPALLY M.D.

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10004 KENNERLY RD SUITE 391 B
SAINT LOUIS MO
63128-2141
US

IV. Provider business mailing address

7710 BELLSTONE RD
SAINT LOUIS MO
63119-5415
US

V. Phone/Fax

Practice location:
  • Phone: 314-843-8222
  • Fax: 314-843-1662
Mailing address:
  • Phone: 314-962-1760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number2006002064
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License Number2006002064
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number2006002064
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: