Individual
MISS RAHUL CHAKRABORTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
S.T
Contact information
Practice address
3401 SOLDIERS HOME RD, WEST LAFAYETTE BRA, IN 47906-1222
(765) 463-1541
Mailing address
2400 NORTHWESTERN AVE, WEST LAFAYETTE BRA, IN 47906-1855
(765) 427-7793
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
46001690A
IN
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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