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MITTAPALLI OBGYN PLLC
NPI 1285064196
Obstetrics & Gynecology in San Luis, AZ

Active since November 14, 2013
845 E. B STREET, SAN LUIS, AZ 85349(928) 627-5678(928) 627-5677 Get Directions Write a Review

NPPES record last updated: July 14, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mittapalli Obgyn Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MITTAPALLI OBGYN PLLC (NPI 1285064196) is a healthcare organization registered as an obstetrics & gynecology in San Luis, Arizona and active in the NPI registry since November 2013. The organization lists Raja Mittapalli, Owner, as its authorized official.

NPPES Registry Identity

NPI1285064196
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameMITTAPALLI OBGYN PLLC
Location Address845 E. B STREETSan Luis, AZ 85349
Mailing AddressPo Box 8430San Luis, AZ 85349-6828 · (928) 627-5678 · Fax (928) 627-5677
Phone(928) 627-5678
Fax(928) 627-5677
Organization SubpartNo
Authorized OfficialRaja MittapalliOwner · (330) 206-9752
Enumeration DateNovember 14, 2013
Last NPPES UpdateJuly 14, 2014
✔ NPI 1285064196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in AZ · 36264
Definition
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.
845 E. B STREET, San Luis, AZ 85349
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Other Identifiers 1

Medicare PINZ114585AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mittapalli Obgyn PLLC's NPI number?

The NPI number for Mittapalli Obgyn PLLC is 1285064196. It was assigned to this organization in the NPPES registry on November 14, 2013.

Where is Mittapalli Obgyn PLLC located?

Mittapalli Obgyn PLLC is located at 845 E. B Street, San Luis, AZ 85349. The listed phone number is (928) 627-5678.

What is Mittapalli Obgyn PLLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Mittapalli Obgyn PLLC was last updated on July 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.