Basic Information
| Provider Information | |||||||||
| NPI: | 1184896987 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHAKRABARTY | ||||||||
| FirstName: | ARUN | ||||||||
| MiddleName: | KUMAR | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1003 E FLORIDA AVE # 101 | ||||||||
| Address2: | |||||||||
| City: | HEMET | ||||||||
| State: | CA | ||||||||
| PostalCode: | 925434510 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5304008814 | ||||||||
| FaxNumber: | 9516523173 | ||||||||
| Practice Location | |||||||||
| Address1: | 34500 BOB HOPE DR | ||||||||
| Address2: | SUITE 102 | ||||||||
| City: | RANCHO MIRAGE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 922701727 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7608337977 | ||||||||
| FaxNumber: | 7606998501 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/01/2008 | ||||||||
| LastUpdateDate: | 10/07/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | A80789 | CA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | A80789 | CA | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.