Healthcare Provider Details

I. General information

NPI: 1710959671
Provider Name (Legal Business Name): SANGEETA CHAKRAVORTY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2006
Last Update Date: 10/23/2024
Certification Date: 10/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY DRIVE
PITTSBURGH PA
15240
US

IV. Provider business mailing address

UNIVERSITY DRIVE
PITTSBURGH PA
15240
US

V. Phone/Fax

Practice location:
  • Phone: 412-360-6823
  • Fax: 412-360-6316
Mailing address:
  • Phone: 412-360-6823
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License NumberMD062015-L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberMD062015-L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: