Individual
GIRIDHAR CHINTALAPUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
295 OLMSTED BLVD BLDG STE 12, PINEHURST, NC 28374-8734
(910) 235-0595
(910) 235-0546
Mailing address
295 OLMSTED BLVD, MELLON BLDG. STE. 12, PINEHURST, NC 28374-9131
(910) 235-0595
(910) 235-0546
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
200000196
NC
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
200000196
NC
2084N0400X
Neurology Physician
Primary
200000196
NC
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
200000196
NC
2084V0102X
Vascular Neurology Physician
200000196
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1257J
BLUE CROSS BLUE SHIELD NC
NC
01
—
130022228
RAILROAD MEDICARE
NC
05
—
891257J
—
NC
Enumeration date
12/01/2006
Last updated
06/04/2021
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