Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mittapalli OBGYN PLLC

Organization Obstetrics & Gynecology Physician · NPI 1285064196

Mittapalli OBGYN PLLC is an Obstetrics & Gynecology Physician in San Luis, Arizona. Licensed in Arizona. Registered with an NPI since 2013.

Licensed in
AZ
In the registry since
2013
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

845 E B St
San Luis, AZ 85349
Phone: (928) 627-5678
Fax: (928) 627-5677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 36264 (AZ)

Record details

NPI number1285064196
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raja Mittapalli — Owner · (330) 206-9752
NPI enumeratedNovember 14, 2013
Last updated in NPPESJuly 14, 2014
Mailing addressPo Box 8430, San Luis, AZ 85349-6828

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