Provider Demographics
NPI:1386170041
Name:DEEPA CHINTALA, M.D., P.A.
Entity type:Organization
Organization Name:DEEPA CHINTALA, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DEEPA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHINTALA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-295-9000
Mailing Address - Street 1:1400 N COIT RD STE 2502
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-6664
Mailing Address - Country:US
Mailing Address - Phone:972-295-9000
Mailing Address - Fax:972-634-0350
Practice Address - Street 1:1400 N COIT RD STE 2502
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-6664
Practice Address - Country:US
Practice Address - Phone:972-295-9000
Practice Address - Fax:972-634-0350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-02
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN1586207R00000X, 208M00000X
261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty