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Individual

INDRANIL CHAKRABORTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
E-4315
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06070015300
QUALCHOICE
AR
05
160491001
AR
01
5N445
BCBS
AR
01
E4315
TRICARE
AR
01
P00350630
RAILROAD MEDICARE 1
AR
Enumeration date
09/22/2006
Last updated
09/07/2016
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