Individual
DR. REBANTA KUMAR CHAKRABORTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
316 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4252
(253) 403-6850
(253) 403-6860
Mailing address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD60642211
WA
207R00000X
Internal Medicine Physician
MD161003
OR
207R00000X
Internal Medicine Physician
MD60642211
WA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD60642211
WA
207RP1001X
Pulmonary Disease Physician
Primary
276732
MA
207RP1001X
Pulmonary Disease Physician
MD161003
OR
207RP1001X
Pulmonary Disease Physician
MD60642211
WA
Other
Enumeration date
01/26/2010
Last updated
10/22/2021
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