MITTAPALLI OBGYN PLLC NPI 1285064196

NPI Information

MITTAPALLI OBGYN PLLC is an obstetrics gynecology in San Luis, AZ. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MITTAPALLI OBGYN PLLC NPI is 1285064196. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

845 E. B STREET
SAN LUIS, AZ
ZIP 85349
Phone: (928) 627-5678
Fax: (928) 627-5677

The provider's authorized official is Raja Mittapalli .
The authorized official title is Owner and has the following contact phone number (330) 206-9752.

The enumeration date for this NPI number is 11/14/2013 and was last updated on 7/14/2014.

Taxonomy Codes

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