Individual
CHAYAN CHAKRABORTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1430 TULANE AVE, SL-16, NEW ORLEANS, LA 70112-2632
(504) 988-7518
(509) 472-3758
Mailing address
1101 CADIZ ST, NEW ORLEANS, LA 70115-2830
(504) 913-1274
(509) 472-3758
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
026072
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1050822
—
LA
Enumeration date
05/08/2006
Last updated
08/20/2011
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