Provider Demographics
NPI:1215824941
Name:VIRATA, MICHAEL CHRISTIAN ANTE (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL CHRISTIAN
Middle Name:ANTE
Last Name:VIRATA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1468 MADISON AVENUE
Mailing Address - Street 2:ANNENBERG BUILDING 15TH FLOOR ROOM 50
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029
Mailing Address - Country:US
Mailing Address - Phone:212-241-4398
Mailing Address - Fax:646-537-9681
Practice Address - Street 1:1468 MADISON AVE
Practice Address - Street 2:ANNENBERG BUILDING 15TH FLOOR ROOM 50
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029
Practice Address - Country:US
Practice Address - Phone:212-241-4398
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program