Organization
ALLIANCE INTEGRATED MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVIKANTH CHIRAVURI MD (OFFICER)
(772) 888-2545
Entity
Organization
Contact information
Practice address
721 COLORADO AVE, STUART, FL 34994-3017
(772) 888-2545
(772) 888-2742
Mailing address
721 COLORADO AVE, STUART, FL 34994-3017
(772) 888-2545
(772) 888-2742
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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