Healthcare Provider Details

I. General information

NPI: 1609988856
Provider Name (Legal Business Name): CHANDRA REDDY NARALA, M.D., PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 02/21/2024
Certification Date: 02/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2847 SAINT ROSE PKWY STE 100
HENDERSON NV
89052-4844
US

IV. Provider business mailing address

2847 SAINT ROSE PKWY STE 100
HENDERSON NV
89052-4844
US

V. Phone/Fax

Practice location:
  • Phone: 702-947-5700
  • Fax: 702-947-5703
Mailing address:
  • Phone: 702-947-5700
  • Fax: 702-947-5703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: CHANDRASEKHAR NARALA
Title or Position: PRESIDENT
Credential: MD
Phone: 702-947-5700