Chakravarty, Bishan
Chakravarty, Bishan is an individual health care provider with primary practice located at 703 Maple Valley Drive , Farmington MO 63640. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Chakravarty, Bishan can be contacted via phone (573) 701-0470.Contact Information
Primary practice address
703 Maple Valley Drive
Farmington MO 63640
Phone: (573) 701-0470
Fax: (573) 701-0473
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2018009371 | Missouri |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 2018009371 | Missouri |
Profile Details
| NPI number | 1790030195 |
|---|---|
| LBN Legal business name | Chakravarty, Bishan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2012 |
| Last updated | Aug 23rd, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790030195 | NPPES |
| Missouri | MEDICAID | 200052190 |
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