DR. REBANTA KUMAR CHAKRABORTY (NPI# 1396076741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396076741 |
| Entity Type | Individual |
| Full Name | DR. REBANTA KUMAR CHAKRABORTY |
| Credential | MD |
| Practice Address |
316 Martin Luther King Jr Way Tacoma WA 98405-4252 |
| Mailing Address |
315 Martin Luther King Jr Way Tacoma WA 98405-4234 |
| Practice Telephone | 2534036850 |
| Practice Fax Number | 2534036860 |
| Mailing Telephone | 2534036850 |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2016-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | MD60642211 | WA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | MD60642211 | WA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | MD161003 | OR | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
MD60642211 | WA | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MD60642211 | WA | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MD161003 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
316 MARTIN LUTHER KING JR WAY |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-4252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144225780 | Laura Lynn Hershkowitz | Neuromusculoskeletal Medicine, Sports Medicine | 316 Martin Luther King Jr Way, #408, Tacoma, WA 98405-4252 | 2005-06-20 |
| 1295187573 | Amberkiah L Pomeroy | Audiologist | 316 Martin Luther King Jr Way, Suite 305, Tacoma, WA 98405-4252 | 2016-07-11 |
| 1083042816 | Jason Eric Legan | Physician Assistant | 316 Martin Luther King Jr Way, Tacoma, WA 98405-4252 | 2013-10-14 |
| 1386928216 | Craig A Rone Md Ps | Otolaryngology | 316 Martin Luther King Jr Way, # 305, Tacoma, WA 98405-4252 | 2011-10-11 |
| 1477716850 | Jaime J Payne | Family Medicine | 316 Martin Luther King Jr Way, Tacoma, WA 98405-4252 | 2008-07-07 |
| 1205007424 | Christopher Cuevas Cuevas | Family Medicine | 316 Martin Luther King Jr Way, Suite 401, Tacoma, WA 98405-4252 | 2008-03-14 |
| 1710166129 | Sara J Diem | Physician Assistant | 316 Martin Luther King Jr Way, Tacoma, WA 98405-4252 | 2007-11-01 |
| 1629266093 | Sara A Waversveld | Podiatrist | 316 Martin Luther King Jr Way, #201, Tacoma, WA 98405-4252 | 2007-10-10 |
| 1265575336 | Urologic Northwest Surgeons Ps | Urology | 316 Martin Luther King Jr Way, Suite 312, Tacoma, WA 98405-4252 | 2007-02-15 |
| 1215070297 | Francis Young-jin Kim | Urology | 316 Martin Luther King Jr Way, Suite 312, Tacoma, WA 98405-4252 | 2007-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588719686 | Saleh A Ismail | Internal Medicine | 1708 Yakima Ave Ste 300, Tacoma, WA 98405-5309 | 2007-01-25 |
| 1699749218 | Vincent Mysliwiec | Internal Medicine | Department of Pulmonary Medicine: Mamc, 9040 Fitzsimmons Ave, Tacoma, WA 98431-0001 | 2006-02-13 |
| 1669740635 | Aparna Kadambi | Internal Medicine | 1708 Yakima Ave Ste 300, Tacoma, WA 98405-5309 | 2011-12-06 |
| 1497086698 | Patrick Riley Smith | Internal Medicine | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2010-01-27 |
| 1396994869 | Leslie A Jette-kelly | Internal Medicine | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-1000 | 2008-09-09 |
| 1538285275 | David Emerson Lee | Internal Medicine | 1717 S J St, Tacoma, WA 98405-4933 | 2007-03-22 |
| 1851359509 | Pulmonary Consultants Pllc | Internal Medicine | 1708 Yakima Ave, Ste 300, Tacoma, WA 98405-5307 | 2006-05-03 |
| 1245201698 | Kevin Michael Kumke | Internal Medicine | Madigan Army Medical Ctr, Jblm, Tacoma, WA 98430-0001 | 2006-02-01 |
| 1619957065 | Bernard Johannes Roth | Internal Medicine | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386004638 | Kent N Sullivan Md Pllc | Internal Medicine | 19219 51st Ave Ne, Lake Forest Park, WA 98155-2940 | 2016-02-29 |
| 1215363676 | Lawrence Edward Klock Jr. | Internal Medicine | 4115 S Bellgrove Ln, Spokane, WA 99223-6185 | 2013-09-17 |
| 1427495274 | Mohammed Nayeemuddin | Internal Medicine | 16259 Sylvester Rd Sw Ste 404, Burien, WA 98166 | 2013-06-03 |
| 1174864912 | Steven Chase Springmeyer | Internal Medicine | 219 Terry Ave N Ste 100, Seattle, WA 98109-5230 | 2013-03-04 |
| 1326364688 | Surafel Befekadu Gezahegne | Internal Medicine | 4011 Talbot Rd S Ste 460, Renton, WA 98055-5791 | 2010-04-12 |
| 1649439209 | Allison A Lambert | Internal Medicine | 105 W 8th Ave Ste 660e, Spokane, WA 99204-2302 | 2008-06-08 |
| 1114192937 | Richard Clark Redman | Internal Medicine | 500 Lilly Road Ne, Suite 201, Olympia, WA 98506 | 2008-04-23 |
| 1467637058 | John E Sailer | Internal Medicine | 181 Saddle Drive, Port Townsend, WA 98368 | 2008-01-02 |
| 1891995882 | Bridget Collins | Internal Medicine | Uwmc 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2007-07-19 |
| 1538368360 | Vincent George Lerma Cunanan | Internal Medicine | 1100 Goethals Drive Third Floor, Kadlec Clinic Pulmonary, Richland, WA 99352 | 2007-07-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.