Provider Demographics
NPI:1609988856
Name:CHANDRA REDDY NARALA, M.D., PLLC
Entity Type:Organization
Organization Name:CHANDRA REDDY NARALA, M.D., PLLC
Other - Org Name:DESERT CARDIOLOGY & VASCULAR CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHANDRASEKHAR
Authorized Official - Middle Name:
Authorized Official - Last Name:NARALA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-947-5700
Mailing Address - Street 1:2847 SAINT ROSE PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-4844
Mailing Address - Country:US
Mailing Address - Phone:702-947-5700
Mailing Address - Fax:702-947-5703
Practice Address - Street 1:2847 SAINT ROSE PKWY STE 100
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-4844
Practice Address - Country:US
Practice Address - Phone:702-947-5700
Practice Address - Fax:702-947-5703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV36312Medicare PIN