Individual
DR. VARUN CHAKRAVORTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16601 N 40TH ST STE 204, PHOENIX, AZ 85032-3356
(602) 996-4747
(602) 953-5466
Mailing address
16601 N 40TH ST STE 204, PHOENIX, AZ 85032-3356
(602) 996-4747
(602) 953-5466
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
56296
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
391495
—
AZ
Enumeration date
10/09/2012
Last updated
07/25/2018
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