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NPI Code Detail

MEDICARE: DR. KISHANLAL CHAKRABARTI MD

MEDICARE:  DR. KISHANLAL  CHAKRABARTI  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
12084P0800XPsychiatry Physician42216MA

Other Identifiers

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

General Provider Information

NPI Number : 1659365856
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KISHANLAL CHAKRABARTI MD
Provider Business Mailing Address
First Line : 14 AVON RD
Second Line :
City : WATERTOWN
State : MA
Zip : 02472-4932
Country : US
Telephone Number : 617-539-1318
Fax Number : 866-274-0418
Provider Business Practice Location Address
First Line : 120 BANKS ST
Second Line :
City : WINTHROP
State : MA
Zip : 02152-1931
Country : US
Telephone Number : 617-539-1318
Fax Number : 866-274-0418
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2005
Last Update Date : 07/23/2007

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Directions to “ DR. KISHANLAL CHAKRABARTI MD” Practice Location

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