Provider Demographics
NPI:1952411704
Name:CHIRAVURI, MURALI (MD PHD)
Entity Type:Individual
Prefix:
First Name:MURALI
Middle Name:
Last Name:CHIRAVURI
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1305 POST RD
Mailing Address - Street 2:CARDIAC SPECIALISTS, P.C.
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824-6016
Mailing Address - Country:US
Mailing Address - Phone:203-292-0808
Mailing Address - Fax:203-255-5212
Practice Address - Street 1:1305 POST RD
Practice Address - Street 2:CARDIAC SPECIALISTS, P.C.
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-6016
Practice Address - Country:US
Practice Address - Phone:203-292-0808
Practice Address - Fax:203-255-5212
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA215861207R00000X, 246XC2901X
CT047490207RC0001X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No246XC2901XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularCardiovascular Invasive Specialist
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease