Provider Demographics
NPI:1386845774
Name:CHIRAVURI, RAVIKANTH (MD)
Entity type:Individual
Prefix:
First Name:RAVIKANTH
Middle Name:
Last Name:CHIRAVURI
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 1:1931 NW 150TH AVE STE 265
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33028-2884
Mailing Address - Country:US
Mailing Address - Phone:305-396-3858
Mailing Address - Fax:305-514-0636
Practice Address - Street 1:2801 NE 213TH ST STE 811
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1264
Practice Address - Country:US
Practice Address - Phone:305-396-3858
Practice Address - Fax:305-514-0636
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME84617207RI0011X
FLME 84617207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL278489100Medicaid
FLAE161TMedicare PIN
FL278489100Medicaid