Mittapalli OBGYN PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

36264 Issued in AZ

Legal business name

MITTAPALLI OBGYN PLLC

Practice address

845 E. B Street
San Luis, AZ 85349

Phone

(928) 627-5678

Fax

(928) 627-5677

NPI assigned

Nov 14, 2013

Organization subpart

No

Name

Raja Mittapalli, MD

Title

Owner

Phone

(330) 206-9752

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 14, 2014.

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1285064196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8430",
            "city": "SAN LUIS",
            "state": "AZ",
            "postal_code": "853496828",
            "telephone_number": "928-627-5678",
            "fax_number": "928-627-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 E. B STREET",
            "city": "SAN LUIS",
            "state": "AZ",
            "postal_code": "85349",
            "telephone_number": "928-627-5678",
            "fax_number": "928-627-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITTAPALLI OBGYN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "MITTAPALLI",
        "authorized_official_first_name": "RAJA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-206-9752",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "36264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah K McNair, NP
• Lily Yu Lin McNair, PSM, RDN
• William Russell McNair, FNP
• Jeffrey Mercado, PHARMD
• Fabiola Meza
• Adole Adjo Moevi, MD
• Manuel Arturo Molina
• Diana Lorena Monroy, FNP-C
• Monica Montufar, CNM
• Rosario Alejandra Morales Villegas, SLPA

• All providers in San Luis, AZ
• Obstetrics & Gynecology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.