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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