DR. SUPRIYA CHAKRAVARTY MD NPI 1134126048

NPI Information

NPI: 1134126048
Provider Name: DR. SUPRIYA CHAKRAVARTY, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
4235 SECOR RD
TOLEDO, OH
ZIP 43623
Phone: (419) 865-3939
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DR. Supriya Chakravarty, MD is a cardiovascular disease internal medicine in Toledo, OH. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Supriya Chakravarty, MD NPI is 1134126048. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4235 SECOR RD
TOLEDO, OH
ZIP 43623-231
Phone: (419) 865-3939

The enumeration date for this NPI number is 7/7/2005 and was last updated on 1/25/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	35040780	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	060070243	OTHER		RAILROAD MEDICARE
2	CH0438685	MEDICARE PIN	OHIO
3	P00181418	OTHER	OHIO	OHIO RAILROAD MEDICARE
4	0N11220016	MEDICARE PIN	MICHIGAN
5	A76386	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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