Provider Demographics
NPI:1942256060
Name:ANU CHIRALA A MEDICAL CORPORATION
Entity Type:Organization
Organization Name:ANU CHIRALA A MEDICAL CORPORATION
Other - Org Name:SOUTH BAY CARDIOVASCULAR CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CARDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANU
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIRALA
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FACC
Authorized Official - Phone:408-779-9422
Mailing Address - Street 1:18511 MISSION VIEW DR
Mailing Address - Street 2:SUITE 120
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037-2974
Mailing Address - Country:US
Mailing Address - Phone:408-779-9422
Mailing Address - Fax:408-779-4113
Practice Address - Street 1:18511 MISSION VIEW DR
Practice Address - Street 2:SUITE 120
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-2974
Practice Address - Country:US
Practice Address - Phone:408-779-9422
Practice Address - Fax:408-779-4113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA55594207RC0000X
CA7322-43207UN0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear CardiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG39227Medicare UPIN
CAA555940Medicare PIN