Provider Demographics
NPI:1699523795
Name:CHINTAGUNTA, PREETHI LIKHITHA (MD)
Entity type:Individual
Prefix:
First Name:PREETHI LIKHITHA
Middle Name:
Last Name:CHINTAGUNTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:PREETHI
Other - Middle Name:
Other - Last Name:RAJAGOPAL REDDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:530 NE GLEN AVE, INTERNAL MEDICINE RESIDENCY OSF ST. FR
Mailing Address - Street 2:ATTN: MARTI SOKOLOWSKI
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61637
Mailing Address - Country:US
Mailing Address - Phone:309-624-9351
Mailing Address - Fax:309-655-7732
Practice Address - Street 1:530 NE GLEN AVE, INTERNAL MEDICINE RESIDENCY OSF ST. FR
Practice Address - Street 2:ATTN: MARTI SOKOLOWSKI
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61637
Practice Address - Country:US
Practice Address - Phone:309-624-9351
Practice Address - Fax:309-655-7732
Is Sole Proprietor?:No
Enumeration Date:2024-05-13
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program