Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | MD071549L | PA |
NPI | 1457369001 |
---|---|
Provider Name | Pradip Chakrabarti |
First Address | Allentown, PA 18105-1754 |
Second Address | Allentown, PA 18103-6229 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 08/07/2007 |