Chakrabarty, Amit
Chakrabarty, Amit is an sole proprietor health care provider with primary practice located at 2400 Lucy Lee Pkwy Ste F , Poplar Bluff MO 63901-2427. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Chakrabarty, Amit can be contacted via phone (573) 609-2266.Contact Information
Primary practice address
2400 Lucy Lee Pkwy Ste F
Poplar Bluff MO 63901-2427
Phone: (573) 609-2266
Fax: (573) 785-0974
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 70357 | Georgia |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 01058611A | Indiana |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 2500020935 | Missouri |
Profile Details
| NPI number | 1598786725 |
|---|---|
| LBN Legal business name | Chakrabarty, Amit |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2006 |
| Last updated | Dec 14th, 2022 - about 2 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 | 1598786725 | NPPES |
| Alabama | MEDICAID | 009935341 | |
| Alabama | Other | 000092909 | |
| Alabama | MEDICAID | 200018019 | |
| Alabama | Other | 51532618 |
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