Individual
SUGOTO MUKHERJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
LEE ST FL 1, CHARLOTTESVILLE, VA 22908-0001
(434) 982-0415
(434) 243-6999
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
0109542050
VA
390200000X
Student in an Organized Health Care Education/Training Program
0116018596
VA
Other
Enumeration date
05/21/2007
Last updated
01/21/2013
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