Chakraborty, Ranen

Chakraborty, Ranen is an individual health care provider with primary practice located at 6 Wellness Way Ste 109 , Latham NY 12110-2156. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Chakraborty, Ranen can be contacted via phone (518) 785-5881.

Contact Information

Primary practice address
6 Wellness Way Ste 109 Latham NY 12110-2156
Fax: (518) 783-8510
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 207172 New York

Profile Details

NPI number 1689764227
LBN Legal business name Chakraborty, Ranen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Feb 15th, 2024 - about 9 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689764227 NPPES
New York MEDICAID 02252133

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