Individual
SUMANT K CHAKRAVORTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
125 W INDIANTOWN RD, SUITE 106, JUPITER, FL 33458-3556
(561) 748-8103
(561) 748-0773
Mailing address
5431 N UNIVERSITY DR, CORAL SPRINGS, FL 33067-4639
(954) 344-2522
(954) 344-9189
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
650190533
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035047800
—
FL
Enumeration date
10/11/2006
Last updated
10/11/2012
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