Individual
DR. ANJAN CHAKRABARTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
612 KINGSBOROUGH SQ, SUITE 100, CHESAPEAKE, VA 23320-5041
(757) 547-9294
(757) 213-9340
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
242622
MA
207RC0000X
Cardiovascular Disease Physician
0101255913
VA
207RI0011X
Interventional Cardiology Physician
Primary
0101255913
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609993963
NC MEDICAID
NC
01
—
1609993963
TRICARE
VA
01
—
2525725
CIGNA
VA
01
—
P01382648
RR MEDICARE
VA
Enumeration date
03/23/2007
Last updated
02/24/2015
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