Individual
DR. JAIDIP CHAKRAVARTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
96 CAMPUS DR STE 1, SCARBOROUGH, ME 04074-7164
(207) 885-9905
Mailing address
96 CAMPUS DR STE 1, SCARBOROUGH, ME 04074-7164
(207) 885-9905
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
251591
MA
207RC0000X
Cardiovascular Disease Physician
21299
NH
207RC0000X
Cardiovascular Disease Physician
Primary
MD24503
ME
390200000X
Student in an Organized Health Care Education/Training Program
2016-00367
NC
Other
Enumeration date
06/21/2012
Last updated
10/05/2021
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