MITTAPALLI OBGYN PLLC NPI 1285064196

NPI Information

  • NPI: 1285064196
  • Provider Name: MITTAPALLI OBGYN PLLC
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Address: 845 E. B STREET
    SAN LUIS, AZ
    ZIP 85349
  • Phone: (928) 627-5678

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NPI Details

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

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology36264ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Z114585MEDICARE PINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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