Provider Demographics
NPI:1891181186
Name:CHAKRABURTTY, AMARSHA (MD)
Entity Type:Individual
Prefix:DR
First Name:AMARSHA
Middle Name:
Last Name:CHAKRABURTTY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 L ST APT 219
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95811-4175
Mailing Address - Country:US
Mailing Address - Phone:405-406-8705
Mailing Address - Fax:
Practice Address - Street 1:1801 L ST APT 219
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95811-4175
Practice Address - Country:US
Practice Address - Phone:405-406-8705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-13
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1549622084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry