DR. SOUMYA D CHAKRAVARTY (NPI# 1265691216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265691216 |
| Entity Type | Individual |
| Full Name | DR. SOUMYA D CHAKRAVARTY |
| Credential | M.D. |
| Practice Address |
219 N Broad St Fl 9 Philadelphia PA 19107-1506 |
| Mailing Address |
1601 Cherry St Suite 11511 Philadelphia PA 19102-1320 |
| Practice Telephone | 2157622688 |
| Mailing Telephone | 2152557822 |
| Mailing Fax Number | 2152557825 |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2016-08-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
25MA09456300 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
MD450553 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
219 N BROAD ST FL 9 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740335603 | Drexel University | Internal Medicine | 219 N Broad St Fl 9, Philadelphia, PA 19107-1506 | 2007-01-23 |
| 1407492333 | Tower Drexel Academic Medical Group LLC | Internal Medicine | 219 N Broad St Fl 9, Philadelphia, PA 19107-1506 | 2019-11-26 |
| 1366086845 | Tower Drexel Academic Medical Group LLC | Internal Medicine | 219 N Broad St Fl 9, Philadelphia, PA 19107-1506 | 2019-10-29 |
| 1497398192 | Tower Drexel Academic Medical Group LLC | Internal Medicine | 219 N Broad St Fl 9, Philadelphia, PA 19107-1506 | 2019-10-25 |
| 1609376748 | Shaylyn Lynch | Nutritionist | 219 N Broad St Fl 9, Philadelphia, PA 19107-1506 | 2018-02-15 |
| 1942482971 | Safia Anwar Pasha Siddiqui | Internal Medicine | 219 N Broad St Fl 9, Philadelphia, PA 19107 | 2007-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1215570916 | Tower Drexel Academic Medical Group LLC | Internal Medicine | 219 N Broad St Fl 6, Philadelphia, PA 19107-1519 | 2019-10-25 |
| 1093058877 | Kanchana Nilupul Herath | Internal Medicine | 1261 Division Highway, Ste 2, Philadelphia, PA 17522-8822 | 2013-03-31 |
| 1578849162 | Donald M. Friedman | Internal Medicine | 1802 Waverly St, Philadelphia, PA 19146-1423 | 2011-10-26 |
| 1992930408 | Sara Dana Wasserman | Internal Medicine | 3737 Market St Fl 6, Philadelphia, PA 19104 | 2009-05-28 |
| 1053448308 | Arthritis & Rheumatology | Internal Medicine | 245 N Broad Street, Ste 403, Philadelphia, PA 19107 | 2007-02-27 |
| 1023048683 | Lan X Chen | Internal Medicine | 3910 Market St, Rheumatology 2nd Fl. Penn Presbyterian Medical Center, Philadelphia, PA 19104-3149 | 2006-07-03 |
| 1760431548 | Bruce I Hoffman | Internal Medicine | 7908 Bustleton Ave, #b, Philadelphia, PA 19152 | 2006-05-09 |
| 1376518233 | David A Allan | Internal Medicine | 3910 Powelton Ave, 2nd Floor, Philadelphia, PA 19104-2692 | 2006-02-22 |
| 1114929585 | Oscar Horacio Irigoyen | Internal Medicine | 1015 Walnut St, Ste 613, Philadelphia, PA 19107-5005 | 2005-08-15 |
| 1346245073 | Michele Meltzer | Internal Medicine | 211 S 9th St, Suite 600, Philadelphia, PA 19107-6810 | 2005-06-17 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
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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.