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General NPI Number Information
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NPI Number | 1861664229
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Entity Type | Organization
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Legal Business Name | CHINTHALA, PC
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Dates
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Enumeration Date | 03/26/2008
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Last Update Date | 01/24/2023
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Provider Practice Location Address
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Address Line | 3557 CORSHAM CIR
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City | CARMEL
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State | IN
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Zip | 46032-8211
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Country | US
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Telephone | 502-523-2446
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Fax |
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Provider Business Mailing Address
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Address Line | 3557 CORSHAM CIR
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City | CARMEL
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State | IN
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Zip | 46032-8211
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Country | US
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Telephone | 502-523-2446
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. PRASANNA CHINTHALA
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Credential | M.D.
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Telephone | 317-281-6586
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 01063241A
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License Number State | IN
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