Individual
ASHISH K CHAKRAVARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1260 UNIVERSITY AVE, SEWANEE, TN 37375-2303
(931) 598-5691
Mailing address
PO BOX 634706, CINCINNATI, OH 45263-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
030804
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18053
TLC TENNCARE
TN
01
—
3122069
BLUE CROSS
TN
05
—
3728385
—
TN
05
—
3835180
—
TN
05
—
3835185
—
TN
05
—
3835189
—
TN
01
—
4151492
BLUE CROSS
TN
01
—
P00384383
MEDICARE RAILROAD
TN
Enumeration date
05/25/2006
Last updated
11/06/2007
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