Healthcare Provider Details

I. General information

NPI: 1346786928
Provider Name (Legal Business Name): CHIKEZIE ALVAREZ M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2017
Last Update Date: 06/30/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 SALEM TPKE STE 8
NORWICH CT
06360-7403
US

IV. Provider business mailing address

1290 SILAS DEANE HIGHWAY HHC - CVO
WETHERSFIELD CT
06109-4337
US

V. Phone/Fax

Practice location:
  • Phone: 860-889-9180
  • Fax: 860-242-3052
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number79444
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: