Individual
MR. CHINTALAPATI VARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,F.R.C.S.,F.A.C.
Contact information
Practice address
1225 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 257-3760
(314) 257-3761
Mailing address
3635 VISA AVE. AT GRAND BLVD., FDT - 11TH FLOOR, ST. LOUIS, MO 63110
(314) 577-8829
(314) 268-5400
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
113503
MO
208600000X
Surgery Physician
Primary
113503
MO
208600000X
Surgery Physician
MD428212
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101503938
—
PA
Enumeration date
05/12/2006
Last updated
03/23/2021
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