Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 15016R | LA |
NPI | 1013108141 |
---|---|
Provider Name | Neelima Chintapalli |
First Address | Irving, TX 75038-3813 |
Second Address | Bossier City, LA 71111-1611 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2007 |
Last Update Date | 14/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1066419 | (05) | LA |