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General NPI Number Information
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NPI Number | 1386170041
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Entity Type | Organization
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Legal Business Name | DEEPA CHINTALA, M.D., P.A.
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Dates
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Enumeration Date | 05/02/2017
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Last Update Date | 04/26/2023
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Provider Practice Location Address
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Address Line | 1400 N COIT RD STE 2502
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City | MCKINNEY
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State | TX
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Zip | 75071-6664
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Country | US
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Telephone | 972-295-9000
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Fax | 972-634-0350
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Provider Business Mailing Address
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Address Line | 1400 N COIT RD STE 2502
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City | MCKINNEY
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State | TX
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Zip | 75071-6664
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Country | US
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Telephone | 972-295-9000
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Fax | 972-634-0350
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DEEPA CHINTALA
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Credential | MD
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Telephone | 972-295-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | N1586
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | N1586
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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