Provider Demographics
NPI:1619397130
Name:CHITRAPU, PRATHYUSHA VENKATA (MD)
Entity Type:Individual
Prefix:
First Name:PRATHYUSHA
Middle Name:VENKATA
Last Name:CHITRAPU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6620 MAIN ST STE 11D.323
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2348
Mailing Address - Country:US
Mailing Address - Phone:713-798-0144
Mailing Address - Fax:713-798-0223
Practice Address - Street 1:6620 MAIN ST STE 11D.323
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2348
Practice Address - Country:US
Practice Address - Phone:713-798-0144
Practice Address - Fax:713-798-0223
Is Sole Proprietor?:No
Enumeration Date:2014-04-23
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10050673207R00000X
TXBP20058990207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine