Provider Demographics
NPI:1992774889
Name:CHAKRABORTY, ANUP K (MD)
Entity type:Individual
Prefix:DR
First Name:ANUP
Middle Name:K
Last Name:CHAKRABORTY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1500 S 48TH ST
Mailing Address - Street 2:SUITE 800
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-1276
Mailing Address - Country:US
Mailing Address - Phone:402-483-8600
Mailing Address - Fax:402-483-8689
Practice Address - Street 1:1500 S 48TH ST
Practice Address - Street 2:SUITE 800
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-1276
Practice Address - Country:US
Practice Address - Phone:402-483-8600
Practice Address - Fax:402-483-8689
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2009-05-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE15964207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE110064083OtherRAILROAD MEDICARE
NE470799959000Medicaid
NE110064083OtherRAILROAD MEDICARE
NE470799959000Medicaid