National Provider Identifier

Christopher T Mallavarapu, MD

Christopher T Mallavarapu, MD is listed in the NPPES registry with a primary specialty of Cardiovascular Disease Physician in Olean, NY and a listed phone number of (716) 373-2600.

NPI 1649273715Olean, NYCardiovascular Disease Physician

Profile Overview

NPI
1649273715
Provider Type
Individual
Primary Specialty
Cardiovascular Disease Physician
Enumeration Date
May 23, 2005
Last Updated
July 24, 2024

Practice Location

  • 515 Main St
  • Olean, NY 14760-1513

Phone: (716) 373-2600

Mailing Address

  • 86 Navesink Ave
  • Rumson, NJ 07760-2043

Specialties

  • Cardiovascular Disease Physician (207RC0000X)
  • Nuclear Cardiology Physician (207UN0901X)
Full Record
NPI
1649273715
Entity Type
Individual
Last Name
Mallavarapu
First Name
Christopher
Middle Name
T
Credential
MD
Mailing Street Address
86 Navesink Ave
Mailing City
Rumson
Mailing State
NJ
Mailing ZIP Code
07760-2043
Mailing Country
US
Mailing Phone
(337) 296-8523
Practice Street Address
515 Main St
Practice City
Olean
Practice State
NY
Practice ZIP Code
14760-1513
Practice Country
US
Practice Phone
(716) 373-2600
Enumeration Date
May 23, 2005
Last Updated
July 24, 2024
Sex
Male
Sole Proprietor
No
Certification Date
July 24, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Cardiovascular Disease Physician (207RC0000X), Nuclear Cardiology Physician (207UN0901X)
Other Identifiers
130730000068 (NY, Fidelis), 01365920 (NY), 3997380 (NY, Emblem Health)