Provider Demographics
NPI:1760644629
Name:CHINTALA, NARANATH R (MD, MPH, MHSA)
Entity Type:Individual
Prefix:DR
First Name:NARANATH
Middle Name:R
Last Name:CHINTALA
Suffix:
Gender:M
Credentials:MD, MPH, MHSA
Other - Prefix:DR
Other - First Name:NARANATH REDDY
Other - Middle Name:
Other - Last Name:CHINTALA VALLABHENDRA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3801 BLUE PKWY
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64130-2807
Mailing Address - Country:US
Mailing Address - Phone:816-922-7641
Mailing Address - Fax:816-922-3179
Practice Address - Street 1:3801 BLUE PKWY
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64130-2807
Practice Address - Country:US
Practice Address - Phone:816-922-7641
Practice Address - Fax:816-922-3179
Is Sole Proprietor?:No
Enumeration Date:2008-07-01
Last Update Date:2018-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2018-0535207Q00000X
TXP0564207Q00000X
MO2103031943207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine