Healthcare Provider Details

I. General information

NPI: 1003307497
Provider Name (Legal Business Name): ANUSHA CHINTHAPARTHI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2018
Last Update Date: 05/10/2024
Certification Date: 05/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9835 N LAKE CREEK PKWY
AUSTIN TX
78717-6210
US

IV. Provider business mailing address

9835 N LAKE CREEK PKWY
AUSTIN TX
78717-6210
US

V. Phone/Fax

Practice location:
  • Phone: 832-826-1380
  • Fax: 832-825-2799
Mailing address:
  • Phone: 832-826-1380
  • Fax: 832-825-2799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberBP10063709
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMT222314
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberV1054
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: