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NPI Code Detail

MEDICARE: DR. ARUNA CHAKRAVORTY M.D., PHD

MEDICARE: DR. ARUNA CHAKRAVORTY M.D., PHD
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
1207RE0101XEndocrinology, Diabetes & Metabolism PhysicianA61615CA

General Provider Information

NPI Number : 1871558288
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ARUNA CHAKRAVORTY M.D., PHD
Provider Business Mailing Address
First Line : 325 DISTEL CIR
Second Line :
City : LOS ALTOS
State : CA
Zip : 94022-1408
Country : US
Telephone Number : 510-498-2357
Fax Number : 510-498-2699
Provider Business Practice Location Address
First Line : 4050 DUBLIN BLVD
Second Line :
City : DUBLIN
State : CA
Zip : 94568-3112
Country : US
Telephone Number : 510-498-2357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2006
Last Update Date : 05/28/2020

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