Organization
AMAL CHAKRABURTTY INC
Active
Organization
AMAL CHAKRABURTTY INC
Active
Other names
Amal Chakraburtty INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMAL CHAKRABURTTY MD (PRESIDENT)
(405) 245-7095
Entity
Organization
Contact information
Practice address
1117 NW 50TH ST, OKLAHOMA CITY, OK 73118-4401
(405) 245-7095
(405) 722-3900
Mailing address
8016 NW 124TH ST, OKLAHOMA CITY, OK 73142-2233
(405) 245-7095
(405) 722-3900
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
18371
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053341362
—
OK
Enumeration date
12/14/2017
Last updated
12/14/2017
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