Individual
DR. ASHIMAVA CHAKLADAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4002 E MAIN STREET, SUITE 1, MESA, AZ 85205
(480) 981-9151
(480) 324-5459
Mailing address
4002 E MAIN STREET, SUITE 1, MESA, AZ 85205
(480) 981-9151
(480) 324-5459
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
28867
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
544157
—
AZ
Enumeration date
08/19/2006
Last updated
07/08/2007
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