Chakravarty, Supriya
Chakravarty, Supriya is an individual health care provider with primary practice located at 4235 Secor Rd , Toledo OH 43623-4231. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Chakravarty, Supriya can be contacted via phone (419) 865-3939.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 35040780 | Ohio |
Profile Details
| NPI number | 1134126048 |
|---|---|
| LBN Legal business name | Chakravarty, Supriya |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Jan 25th, 2010 - about 16 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 | 1134126048 | NPPES |
| Other | 060070243 | RAILROAD MEDICARE | |
| Other | P00181418 | RAILROAD MEDICARE |
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