| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JASWANTH RAJ KINTADA | 1942884770 | 2021-05-07 |
Jaswanth Raj Kintada is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1942884770. Registration indicates Jaswanth Raj Kintada is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Family Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians)
| Entity Type | Individual |
| Provider Name | Dr. Jaswanth Raj Kintada MD |
| Practice Office Address | 900 NE 10TH ST OKLAHOMA CITY, OK US |
| Practice Office Telephone | 4052712230 |
| Mailing Address | 8214 SETTING MOON SAN ANTONIO, TX 782553307 US |
| Business Telephone | 2104429496 |
| Code | Practice | License No State |
|---|---|---|
| 207Q00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Family MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Family Medicine Allopathic & Osteopathic Physicians Family Medicine Family Medicine Primary Care/Family Planning/APRN/PA Family Medicine Allopathic & Osteopathic Physicians | 38353
OK |