| Deepa Chintala, M.d., P.a. | |
|
1400 N Coit Rd Ste 2502 Mckinney TX 75071-6664 | |
| (972) 295-9000 | |
| (972) 634-0350 |
| Full Name | Deepa Chintala, M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1400 N Coit Rd Ste 2502, Mckinney, Texas |
| Authorized Official Name and Position | Deepa Chintala (PRESIDENT) |
| Authorized Official Contact | 9722959000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deepa Chintala, M.d., P.a. 1400 N Coit Rd Ste 2502 Mckinney TX 75071-6664 Ph: (972) 295-9000 | Deepa Chintala, M.d., P.a. 1400 N Coit Rd Ste 2502 Mckinney TX 75071-6664 Ph: (972) 295-9000 |
| NPI Number | 1386170041 |
|---|---|
| Provider Enumeration Date | 05/02/2017 |
| Last Update Date | 04/26/2023 |
| Medicare PECOS PAC ID | 1759654114 |
|---|---|
| Medicare Enrollment ID | O20170906002635 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386170041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | N1586 (Texas) | Primary |
| 208M00000X | Hospitalist | N1586 (Texas) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Deepa Chintala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659582575 PECOS PAC ID: 4789723297 Enrollment ID: I20091123000223 |
| Provider Name | Jessica Beth Buie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568947604 PECOS PAC ID: 8426417841 Enrollment ID: I20230703002447 |
| Provider Name | Naga Vytla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962688580 PECOS PAC ID: 7618046509 Enrollment ID: I20231103001158 |
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