Provider Demographics
NPI:1861664229
Name:CHINTHALA, PC
Entity Type:Organization
Organization Name:CHINTHALA, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PRASANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHINTHALA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-281-6586
Mailing Address - Street 1:3557 CORSHAM CIR
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-8211
Mailing Address - Country:US
Mailing Address - Phone:502-523-2446
Mailing Address - Fax:
Practice Address - Street 1:3557 CORSHAM CIR
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-8211
Practice Address - Country:US
Practice Address - Phone:502-523-2446
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-26
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01063241A2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty