Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 35099611 | OH |
NPI | 1013115054 |
---|---|
Provider Name | Dr. Saneka Chakravarty |
First Address | Ravenna, OH 44266-3929 |
Second Address | Ravenna, OH 44266-3929 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2007 |
Last Update Date | 22/12/2020 |