Healthcare Provider Details

I. General information

NPI: 1508555046
Provider Name (Legal Business Name): HARIKA VARMA CHINTALAPALLI PATTA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2023
Last Update Date: 10/31/2023
Certification Date: 05/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BAPTIST HOSPITALS OF SOUTHEAST TEXAS 3282 COLLEGE STREET
BEAUMONT TX
77701
US

IV. Provider business mailing address

BAPTIST HOSPITALS OF SOUTHEAST TEXAS 3282 COLLEGE STREET
BEAUMONT TX
77701
US

V. Phone/Fax

Practice location:
  • Phone: 409-212-7463
  • Fax:
Mailing address:
  • Phone: 409-212-7463
  • Fax: 409-212-7965

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: