Individual
DR. SAGHANA BARAN CHAKRABORTTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1020 INDEPENDENCE BLVD, SUITE 305, VIRGINIA BEACH, VA 23455-5500
(757) 460-5011
(757) 460-9544
Mailing address
1020 INDEPENDENCE BLVD, SUITE 305, VIRGINIA BEACH, VA 23455-5500
(757) 460-5011
(757) 460-9544
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101037436
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005607451
—
VA
Enumeration date
08/08/2006
Last updated
05/09/2012
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