Organization
MILAN S CHAKRABARTY MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILAN S CHAKRABARTY MD (OWNER)
(951) 652-2252
Entity
Organization
Contact information
Practice address
1003 E FLORIDA AVE, # 104, HEMET, CA 92543-4510
(951) 652-2252
(951) 652-3173
Mailing address
PO BOX 5160, HEMET, CA 92544-0160
(951) 929-6260
(951) 765-2855
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ37688Z
MEDICARE PTAN
CA
Enumeration date
09/25/2006
Last updated
02/20/2018
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