Provider Demographics
NPI:1891790689
Name:CHINTAPALLI, RAJESWARI (MD)
Entity Type:Individual
Prefix:MS
First Name:RAJESWARI
Middle Name:
Last Name:CHINTAPALLI
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 1:2112 CLAIRMONT DR
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62221-7833
Mailing Address - Country:US
Mailing Address - Phone:618-257-1563
Mailing Address - Fax:618-257-1568
Practice Address - Street 1:3635 VISTA AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-2539
Practice Address - Country:US
Practice Address - Phone:314-577-8750
Practice Address - Fax:314-268-5102
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR4B56207L00000X
IL207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL687948OtherHEALTHLINK PROVIDER #
IL687948OtherHEALTHLINK PROVIDER #
ILD99669Medicare UPIN