Individual
DR. KANISHKA CHAKRABORTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
4 SHERIDAN SQ STE 102, KINGSPORT, TN 37660-7435
(423) 588-7140
(423) 588-7141
Mailing address
900 E HILL AVE STE 230, KNOXVILLE, TN 37915-2565
(865) 862-0998
(865) 544-1861
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
47679
TN
207RX0202X
Medical Oncology Physician
Primary
47679
TN
Other
Enumeration date
10/05/2007
Last updated
07/02/2024
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