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General NPI Number Information
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NPI Number | 1598786725
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Entity Type | Individual
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Provider Name | AMIT CHAKRABARTY M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 3201 SW 34TH ST STE F
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City | OCALA
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State | FL
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Zip | 34474-7439
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Country | US
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Telephone | 352-398-4276
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Fax | 352-291-0087
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Provider Business Mailing Address
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Address Line | 121 COVESHIRE PL
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City | MADISON
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State | AL
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Zip | 35758-3150
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Country | US
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Telephone | 352-398-4276
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Fax | 352-291-0087
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 70357
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 01058611A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | ME125251
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 2500020935
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License Number State | MO
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