Individual
DWAIPAYAN CHAKRABORTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
S1996
TX
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
S1996
TX
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
S1996
TX
Other
Enumeration date
07/07/2008
Last updated
08/22/2023
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