Individual
DR. CHAMPA CHAKRABORTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5001 WESTBANK EXPY, MARRERO, LA 70072-2922
(504) 349-8755
Mailing address
115 ENGLISH TURN DR, NEW ORLEANS, LA 70131-3319
(504) 392-8436
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
16054
LA
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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