Individual
DR. SHASWITA CHINTALPURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7500 80TH STREET SOUTH, SUITE 100 - MAIL STOP 34624A, HEALTHPARTNERS COTTAGE GROVE CLINIC, COTTAGE GROVE, MN 55016-3008
(651) 415-4100
(651) 415-4101
Mailing address
8170 33RD AVE S, MS21110Q, MINNEAPOLIS, MN 55425-4516
(952) 883-5375
(651) 415-4101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53549
MN
207Q00000X
Family Medicine Physician
RL10540
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12083
—
ND
Enumeration date
10/29/2007
Last updated
12/01/2011
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