Mira Chakravarty, M.D.

NPI #1073719258 in Edison, New Jersey

Provider Information

NPI Number: 1073719258
Entity Type: Individual
Name: Mira Chakravarty, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Jun 25, 2007
Last Updated: Feb 5, 2014

Practice Location

Address: 3840 PARK AVENUE
Address 2: SUITE C
City: Edison
State: New Jersey
ZIP Code: 08820
Phone: (732) 494-9061

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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