Individual
SUBHAJIT CHAKRAVORTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-5800
Mailing address
3900 WOODLAND AVE, PHILADELPHIA V.A. MEDICAL CENTER, PHILADELPHIA, PA 19104
(215) 823-5800
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD418972
PA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
MD418972
PA
Other
Enumeration date
10/22/2008
Last updated
08/22/2019
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