Individual
RAJA SEKAR MITTAPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4001 DUTCHMANS LN, LOUISVILLE, KY 40207-4714
(502) 893-1270
(502) 894-1321
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01079580A
IN
207V00000X
Obstetrics & Gynecology Physician
36264
AZ
207V00000X
Obstetrics & Gynecology Physician
Primary
C4699
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043324932
CLINIC NPI
—
01
—
1063433720
CLINIC NPI
—
01
—
1245344316
CLINIC NPI
—
05
—
183198
—
AZ
01
—
1962507376
CLINIC NPI
—
05
—
300009456
—
IN
05
—
300009456
—
KY
05
—
7101105490
—
KY
05
—
871450
—
AZ
Enumeration date
11/01/2006
Last updated
04/03/2026
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