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SWAGATA CHAKRABORTY PA-C

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1811247026

Individual Registrant:
 SWAGATA  CHAKRABORTY PA-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
44572 W BOWLIN RD  MARICOPA, AZ 85138-4558 US
Tel: 520-568-2245  Fax: 520-568-2316

Contact information for business:
PO BOX 10097  CASA GRANDE, AZ 85130-0020 US
Tel: (52-0) -836-3446  Fax: 520-836-8807

Registration Information:
NPI: 1811247026
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
AZ6187

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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