Basic Information
| Provider Information | |||||||||
| NPI: | 1952411704 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHIRAVURI | ||||||||
| FirstName: | MURALI | ||||||||
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| Credential: | MD PHD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1305 POST RD | ||||||||
| Address2: | CARDIAC SPECIALISTS, P.C. | ||||||||
| City: | FAIRFIELD | ||||||||
| State: | CT | ||||||||
| PostalCode: | 068246016 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2032920808 | ||||||||
| FaxNumber: | 2032555212 | ||||||||
| Practice Location | |||||||||
| Address1: | 1305 POST RD | ||||||||
| Address2: | CARDIAC SPECIALISTS, P.C. | ||||||||
| City: | FAIRFIELD | ||||||||
| State: | CT | ||||||||
| PostalCode: | 068246016 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2032920808 | ||||||||
| FaxNumber: | 2032555212 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/30/2006 | ||||||||
| LastUpdateDate: | 06/23/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 215861 | MA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 246XC2901X | 215861 | MA | N | Technologists, Technicians & Other Technical Service Providers | Spec/Tech, Cardiovascular | Cardiovascular Invasive Specialist | 207RC0001X | 047490 | CT | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Clinical Cardiac Electrophysiology | 207RC0000X | 047490 | CT | N | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
No ID Information.