Provider Demographics
NPI:1891844338
Name:CHINTAPALLY-RAO, VENKAT KRISHNA (MD)
Entity Type:Individual
Prefix:DR
First Name:VENKAT
Middle Name:KRISHNA
Last Name:CHINTAPALLY-RAO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:VENKAT
Other - Middle Name:KRISHNA
Other - Last Name:RAO-CHINTAPALLY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:7710 BELLSTONE RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63119-5415
Mailing Address - Country:US
Mailing Address - Phone:314-962-1760
Mailing Address - Fax:
Practice Address - Street 1:10004 KENNERLY RD
Practice Address - Street 2:SUITE 391 B
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63128-2141
Practice Address - Country:US
Practice Address - Phone:314-843-8222
Practice Address - Fax:314-843-1662
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20060020642084N0400X, 2084N0600X, 2084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Not Answered2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
Not Answered2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine