Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHUSHOVAN CHAKRABORTTY, M.D.
ActiveDR. SHUSHOVAN CHAKRABORTTY, M.D. is a Pain Medicine (Anesthesiology) healthcare provider located in LAKE ORION, Michigan. NPI 1437164852 is currently active in the NPPES registry. Verify at CMS.
Pain Medicine (Anesthesiology) · LAKE ORION, MI
Registration Details
- NPI Number
- 1437164852
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 31, 2006 (20.075230662659 yrs)
- Last Updated
- Dec 6, 2018
- Licenses
-
4301076099 (MI)4301076099 (MI)
Practice Information
- Address
-
425 N PARK BLVD STE 201LAKE ORION, MI, 483623189Browse MI providers · Browse ZIP 48362
- Phone
- 2489298165
- Fax
- 2489298930
- Primary Specialty
-
Pain Medicine (Anesthesiology)
207LP2900X
- Additional Specialty
- Pain Medicine (Anesthesiology)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.