Individual provider · Type 1 NPI

Mira Chakravarty, MD

Specialist · Edison, NJ

NPI number 1073719258 Active

Practice location

3840 Park Avenue, Suite C
Edison, NJ 08820

Call (732) 494-9061 Map

Fax (732) 494-5571

Mailing address

3840 Park Ave, Suite C
Edison, NJ 08820-2563

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X25MA03783000 (NJ)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1073719258

Mira Chakravarty, MD's National Provider Identifier is 1073719258, issued on Jun 25, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Edison, NJ. The record was last updated on Feb 5, 2014.