Individual
MITHUN CHAKRAVARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
490 E NORTH AVE STE 307, PITTSBURGH, PA 15212-4740
(412) 359-5822
(412) 359-6620
Mailing address
490 E NORTH AVE STE 307, PITTSBURGH, PA 15212-4740
(412) 359-5822
(412) 359-6620
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD438934
PA
207RI0011X
Interventional Cardiology Physician
Primary
MD438934
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026053420001
—
PA
05
—
3158998
—
OH
05
—
3810021344
—
WV
Enumeration date
06/10/2011
Last updated
10/10/2024
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