Provider Demographics
NPI:1205882339
Name:NARALA, CHANDRASEKHAR R (MD)
Entity type:Individual
Prefix:
First Name:CHANDRASEKHAR
Middle Name:R
Last Name:NARALA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
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 ST ROSE PKWY
Practice Address - Street 2:STE 100
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052
Practice Address - Country:US
Practice Address - Phone:702-947-5700
Practice Address - Fax:702-947-5703
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV9210207RS0012X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV36313Medicare PIN