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General NPI Number Information
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NPI Number | 1740247055
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Entity Type | Individual
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Provider Name | UDAYA B CHINTALAPUDI MD
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Gender | Male
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Dates
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Enumeration Date | 04/28/2006
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Last Update Date | 11/26/2019
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Provider Practice Location Address
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Address Line | 4480 ATLANTA HWY
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City | LOGANVILLE
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State | GA
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Zip | 30052-7313
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Country | US
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Telephone | 470-509-4200
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Fax |
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Provider Business Mailing Address
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Address Line | 3000 CREEK FALLS WAY
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City | DULUTH
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State | GA
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Zip | 30097-6239
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Country | US
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Telephone | 678-910-7228
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 35.077618
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 059618
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 22340
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License Number State | NE
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Taxonomy #4
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 22340
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License Number State | NE
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Taxonomy #5
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 059618
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License Number State | GA
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