Individual
DR. RIPA CHAKRAVORTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6818 AUSTIN CENTER BLVD STE 205, AUSTIN, TX 78731-3100
(512) 344-0450
(512) 406-7318
Mailing address
6210 E HIGHWAY 290 STE 240, AUSTIN, TX 78723-1144
(512) 483-9596
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R6360
TX
207RC0000X
Cardiovascular Disease Physician
Primary
R6360
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
385689001
—
TX
01
—
385689002
CSHCN
TX
Enumeration date
03/30/2012
Last updated
07/14/2022
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