Individual
JYOTI CHAKRAVARTY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3140 W CENTRAL AVE, TOLEDO, OH 43606-2920
(419) 537-5111
(419) 537-5131
Mailing address
3140 W CENTRAL AVE, TOLEDO, OH 43606-2920
(419) 537-5111
(419) 537-5131
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
35040779
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000203479
ANTHEM
OH
01
—
00580
PARAMOUNT
OH
05
—
0436120
—
OH
01
—
4095527
AETNA
OH
Enumeration date
06/21/2005
Last updated
07/08/2007
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