Provider Demographics
NPI:1659582575
Name:CHINTALA, DEEPA (MD)
Entity Type:Individual
Prefix:DR
First Name:DEEPA
Middle Name:
Last Name:CHINTALA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN1586207RA0000X, 282N00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RA0000XAllopathic & Osteopathic PhysiciansInternal MedicineAdolescent Medicine
No282N00000XHospitalsGeneral Acute Care Hospital