Individual
DR. JYOTIRMOY CHAKRABORTI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 MEDICAL CENTER BLVD, SUITE S-555, MARRERO, LA 70072-3151
(504) 349-6808
(504) 349-6811
Mailing address
1111 MEDICAL CENTER BLVD, SUITE S-555, MARRERO, LA 70072-3151
(504) 349-6808
(504) 349-6811
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
05393R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1315761
—
LA
Enumeration date
11/15/2005
Last updated
07/08/2007
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