Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0208X | Pediatric Infectious Diseases | 041752 | GA |
Y | 2080P0208X | Pediatric Infectious Diseases | 63541 | MN |
NPI | 1649453119 |
---|---|
Provider Name | Dr. Rana Chakraborty |
First Address | Rochester, MN 55095-0001 |
Second Address | Rochester, MN 55905 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2007 |
Last Update Date | 12/08/2020 |