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NPI Code Detail

MEDICARE: JACOB EMERSON CHINTHAGADA

MEDICARE: JACOB EMERSON CHINTHAGADA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery PhysicianR82695AZ

General Provider Information

NPI Number : 1063351559
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACOB EMERSON CHINTHAGADA
Provider Business Mailing Address
First Line : 3127 DORIAN DR
Second Line :
City : TOLEDO
State : OH
Zip : 43614-5241
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1625 N CAMPBELL AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85719-4330
Country : US
Telephone Number : 520-694-0111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2026
Last Update Date : 06/03/2026

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Directions to “ JACOB EMERSON CHINTHAGADA ” Practice Location

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