Provider Demographics
NPI:1578594651
Name:CHINTAPALLI, UMA (MD)
Entity Type:Individual
Prefix:DR
First Name:UMA
Middle Name:
Last Name:CHINTAPALLI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:UMA
Other - Middle Name:
Other - Last Name:CHINTAPALLI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:701 W WHITE ST STE 2B
Mailing Address - Street 2:
Mailing Address - City:ANNA
Mailing Address - State:TX
Mailing Address - Zip Code:75409-4102
Mailing Address - Country:US
Mailing Address - Phone:972-924-2900
Mailing Address - Fax:972-924-4300
Practice Address - Street 1:701 W WHITE ST STE 2B
Practice Address - Street 2:
Practice Address - City:ANNA
Practice Address - State:TX
Practice Address - Zip Code:75409-4102
Practice Address - Country:US
Practice Address - Phone:972-924-2900
Practice Address - Fax:972-924-4300
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3993207R00000X, 207P00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1877557-09Medicaid
TX1877557-09Medicaid
NJ095824Medicare ID - Type Unspecified