Provider Demographics
NPI:1952597478
Name:CHIRALA, ANURADHA (MBBS)
Entity Type:Individual
Prefix:
First Name:ANURADHA
Middle Name:
Last Name:CHIRALA
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:No
Enumeration Date:2007-09-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7322-43207UN0901X
CAA55594207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG39227Medicare UPIN
CAA555940Medicare PIN