Individual
JAYENDER REDDY CHINTAPARTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8920 SOUTHPOINTE DR, STE D2, INDIANAPOLIS, IN 46227
(317) 621-1006
(317) 355-6822
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
01073791A
IN
390200000X
Student in an Organized Health Care Education/Training Program
MT194259
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000870740
ANTHEM
IN
05
—
2010220900
—
IN
01
—
P01347692
MEDICARE RR PTAN
IN
Enumeration date
11/09/2009
Last updated
06/10/2021
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