Provider Demographics
NPI:1881851285
Name:CHINTALA, LAKSHMI (MD)
Entity type:Individual
Prefix:
First Name:LAKSHMI
Middle Name:
Last Name:CHINTALA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:VENKATALAKSHMI
Other - Middle Name:
Other - Last Name:CHINTALA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:11300 CORPORATE AVE
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66219-1374
Mailing Address - Country:US
Mailing Address - Phone:913-574-2800
Mailing Address - Fax:913-574-2336
Practice Address - Street 1:4881 NE GOODVIEW CIR
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64064-1996
Practice Address - Country:US
Practice Address - Phone:913-574-2350
Practice Address - Fax:913-574-2413
Is Sole Proprietor?:No
Enumeration Date:2008-05-22
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0435304207RH0003X
MO2011025962207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200739220AMedicaid
MO1881851285Medicaid
MO1881851285Medicaid
MOMA3347032Medicare PIN
MO1881851285Medicaid