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NPI Code Detail

MEDICARE: ARIJIT CHAKRABORTY DO

MEDICARE: ARIJIT CHAKRABORTY DO
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
1390200000XStudent in an Organized Health Care Education/Training ProgramBP10063093TX
22085R0202XDiagnostic Radiology Physician95648GA

General Provider Information

NPI Number : 1376032607
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIJIT CHAKRABORTY DO
Provider Business Mailing Address
First Line : 1364 CLIFTON RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30322-1059
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1364 CLIFTON RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30322-4402
Country : US
Telephone Number : 404-778-5468
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2018
Last Update Date : 06/05/2023

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Directions to “ ARIJIT CHAKRABORTY DO” Practice Location

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