MITTAPALLI OBGYN PLLC (NPI# 1285064196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285064196 |
| Entity Type | Organization |
| Organization Name | MITTAPALLI OBGYN PLLC |
| Practice Address |
845 E. B Street San Luis AZ 85349 |
| Mailing Address |
Po Box 8430 San Luis AZ 85349-6828 |
| Practice Telephone | 9286275678 |
| Practice Fax Number | 9286275677 |
| Mailing Telephone | 9286275678 |
| Mailing Fax Number | 9286275677 |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2014-07-14 |
| Authorized Official Name | RAJA MITTAPALLI (OWNER) |
| Authorized Official Telephone | 3302069752 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 36264 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
845 E. B STREET |
| City | SAN LUIS |
| State | AZ |
| Zip Code | 85349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598391351 | Bryson Lee Wandling | Physician Assistant | 815 E. Cesar Chavez Blvd., San Luis, AZ 85349 | 2020-03-12 |
| 1306482377 | Cecilia Denise Zepeda | Registered Nurse | 1250 N. 8th Avenue, San Luis, AZ 85349 | 2019-11-25 |
| 1184142317 | Rosenda Uribe | Specialist/Technologist | 337 Adobe St, San Luis, AZ 85349 | 2017-09-08 |
| 1033644372 | Lourens Rasmus Botha | Pharmacist | 1613 N Main Street, San Luis, AZ 85349 | 2017-04-24 |
| 1205389988 | Miriam Gonzalez | Dentist | 801 North 2nd Ave, San Luis, AZ 85349 | 2016-07-28 |
| 1386016269 | Isabel M Arias | Dental Hygienist | 1896 E. Babbitt Ln., San Luis, AZ 85349 | 2015-10-30 |
| 1801262308 | Rosario Alejandra Morales Villegas | Specialist/Technologist | 1657 E. B Street, San Luis, AZ 85349 | 2015-08-19 |
| 1598142291 | Manuel Angel Salcido | Specialist/Technologist, Other | 1959 E Georgina St, San Luis, AZ 85349 | 2015-05-01 |
| 1508269465 | Christina Mclean | Registered Nurse | 1250 N. 8 Ave., San Luis, AZ 85349 | 2014-10-06 |
| 1134542921 | Gerardo Garcia | Pharmacist | 1613 N Main St, San Luis, AZ 85349 | 2014-01-29 |
| Find all providers in zip 85349 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609870385 | Robert L Brooks | Obstetrics & Gynecology | 1896 E Babbit Lane, San Luis, AZ 85349-1669 | 2005-06-09 |
| 1851358857 | Charlotte Jean Richards | Obstetrics & Gynecology | 1896 E Babbit Lane, San Luis, AZ 85349-1669 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730724477 | Lilac Healthcare LLC | Obstetrics & Gynecology | 655 S Dobson Rd Ste A101, Chandler, AZ 85224-5675 | 2019-11-15 |
| 1619538907 | Marchand Obgyn and Partners Pllc | Obstetrics & Gynecology | 10238 E Hampton Ave Ste 212b, Mesa, AZ 85209-3316 | 2019-06-26 |
| 1215594809 | Deleonguerrero Obgyn, Pllc | Obstetrics & Gynecology | 1100 N. San Francisco St, Ste B, Flagstaff, AZ 86001-3200 | 2019-05-20 |
| 1902378342 | Rmercadomd, LLC | Obstetrics & Gynecology | 1500 North Wilmot Road, #c-260, Tucson, AZ 85712-4416 | 2018-12-26 |
| 1851863591 | William Quesenberry | Obstetrics & Gynecology | 85 Evergreen Dr, Sedona, AZ 86336-3043 | 2018-12-19 |
| 1982173779 | Kathryn Diana Kenton Kohler | Obstetrics & Gynecology | 767 E Canyon Rock Rd, Green Valley, AZ 85614-5246 | 2018-11-21 |
| 1003313362 | Womens Health Palace Pllc | Obstetrics & Gynecology | 1491 N Arizona Blvd Ste 110, Coolidge, AZ 85128-3261 | 2018-04-12 |
| 1477050375 | Blue Ye Maya LLC | Obstetrics & Gynecology | 531 E Lynwood St Fl 2, Phoenix, AZ 85004-1626 | 2018-04-09 |
| 1023527363 | Martha Prendergast | Obstetrics & Gynecology | 24749 S Brookerson Rd, Willcox, AZ 85643 | 2017-09-28 |
| 1497295836 | Jei Holdings, LLC | Obstetrics & Gynecology | 9377 E Bell Rd Ste 313, Scottsdale, AZ 85260-1504 | 2017-03-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.