MEDICARE: MICHAEL CIARAVINO, MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician

General Provider Information

NPI Number	:	1447802798
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL CIARAVINO, MD PA

Provider Business Mailing Address
First Line	:	3700 BUFFALO SPEEDWAY STE 850
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-3705
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3700 BUFFALO SPEEDWAY STE 850
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-3705
Country	:	US
Telephone Number	:	713-627-1200
Fax Number	:

Authorized Official
Title or Position	:	SURGEON
Name	:	DR. KRITI MOHAN
Credential	:	MD
Telephone Number	:	713-627-1200

Provider Enumeration Date	:	07/16/2019
Last Update Date	:	07/16/2019

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