MEDICARE: RAVIKANTH CHIRAVURI MD

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	207RI0011X	Interventional Cardiology Physician	ME84617	FL
2	207RC0000X	Cardiovascular Disease Physician	ME 84617	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386845774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAVIKANTH CHIRAVURI MD

Provider Business Mailing Address
First Line	:	1931 NW 150TH AVE STE 265
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33028-2884
Country	:	US
Telephone Number	:	305-396-3858
Fax Number	:	305-514-0636

Provider Business Practice Location Address
First Line	:	2801 NE 213TH ST STE 811
Second Line	:
City	:	AVENTURA
State	:	FL
Zip	:	33180-1264
Country	:	US
Telephone Number	:	305-396-3858
Fax Number	:	305-514-0636

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2007
Last Update Date	:	10/06/2025

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Directions to “ RAVIKANTH CHIRAVURI MD” Practice Location

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