Individual
JEAN E CHAKRABORTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1231 116TH AVE NE STE 950, BELLEVUE, WA 98004-3832
(425) 454-3366
(425) 646-5198
Mailing address
1231 116TH AVE NE STE 950, BELLEVUE, WA 98004-3832
(425) 454-3366
(425) 646-5198
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD60394734
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2031052
—
WA
Enumeration date
06/30/2009
Last updated
01/09/2019
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