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Contact Information

TIA CHAKRABORTY, MD
100 MICHIGAN ST NE # MC019
GRAND RAPIDS, MI49503-2560
 Phone: 616-486-0310
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurocritical Care

2084A2900X 86 Physician/Neuropsychiatry
 

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for TIA CHAKRABORTY · (Female)

NPI Number 1548677263
Status Active
Credentials MD
Entity Individual
Enumeration date 07/15/2014
Last updated 08/08/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301501463
Hospital affiliation(s)
  • SPECTRUM HEALTH - BUTTERWORTH CAMPUS - (Acute Care)
    100 MICHIGAN ST NE
    GRAND RAPIDS, MI 49503
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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