Individual
DR. MANU V CHAKRAVARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
1 RWJ PLACE, MEB 384, NEW BRUNSWICK, NJ 08901
(732) 235-7749
(314) 747-8963
Mailing address
1 RWJ PLACE, MEB 384, NEW BRUNSWICK, NJ 08901
(732) 235-7749
(314) 747-8963
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
2006005275
MO
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
25MA08631300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0214370
—
NJ
05
—
200871606
—
MO
Enumeration date
06/10/2006
Last updated
01/12/2010
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