Chakravorty, Sumant K
Chakravorty, Sumant K is an sole proprietor health care provider with primary practice located at 125 W Indiantown Rd Suite 106, Jupiter FL 33458-3556. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Chakravorty, Sumant K can be contacted via phone (561) 748-8103.Contact Information
Primary practice address
125 W Indiantown Rd Suite 106
Jupiter FL 33458-3556
Phone: (561) 748-8103
Fax: (561) 748-0773
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 650190533 | Florida |
Profile Details
| NPI number | 1417045527 |
|---|---|
| LBN Legal business name | Chakravorty, Sumant K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Oct 11th, 2012 - about 13 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 | 1417045527 | NPPES |
| Florida | MEDICAID | 035047800 |
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