Individual
MR. MICHAEL DEAN VIRATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
HOSPITAL OF ST. RAPHAEL, THE HAELEN CENTER, NEW HAVEN, CT 06511-4440
(203) 789-4135
(203) 789-4239
Mailing address
1450 CHAPEL ST., NEW HAVEN, CT 06511-4440
(203) 789-4135
(203) 789-4239
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
033619
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033619
DPH-CT
CT
01
—
3994957
DOJ
—
Enumeration date
07/12/2006
Last updated
11/30/2007
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