Provider Demographics
NPI:1649459033
Name:BARDHAN CHAKRABORTY, UPASANA (MD)
Entity type:Individual
Prefix:DR
First Name:UPASANA
Middle Name:
Last Name:BARDHAN CHAKRABORTY
Suffix:
Gender:F
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:PO BOX 11547
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37401-2547
Mailing Address - Country:US
Mailing Address - Phone:423-778-3274
Mailing Address - Fax:423-778-2255
Practice Address - Street 1:979 EAST THIRD STREET
Practice Address - Street 2:SUITE B-805
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-2141
Practice Address - Country:US
Practice Address - Phone:423-778-9101
Practice Address - Fax:423-778-4397
Is Sole Proprietor?:No
Enumeration Date:2007-11-01
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN48285207RP1001X
390200000X
IN01087314A207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program