Healthcare Provider Details

I. General information

NPI: 1437612926
Provider Name (Legal Business Name): APARAJITA CHAKRABARTY SPENCER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2019
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

619 19TH ST S
BIRMINGHAM AL
35233-1900
US

IV. Provider business mailing address

605 GLENWOOD DR STE 105
CHATTANOOGA TN
37404-1151
US

V. Phone/Fax

Practice location:
  • Phone: 205-934-4011
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number49161
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: