Individual
DR. SUDEEP GOPAL CHAKRAVORTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10008 VALLEYVIEW CT, WEXFORD, PA 15090-7101
(724) 934-0302
(724) 934-0302
Mailing address
10008 VALLEYVIEW CT, WEXFORD, PA 15090-7101
(724) 934-0302
(724) 934-0302
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD 062000-L
PA
Other
Enumeration date
11/30/2005
Last updated
10/09/2012
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