DR. KANISHKA CHAKRABORTY (NPI# 1992993760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992993760 |
| Entity Type | Individual |
| Full Name | DR. KANISHKA CHAKRABORTY |
| Credential | M.D |
| Practice Address |
1 Professional Park Dr Suite 21 Johnson City TN 37604-6587 |
| Practice Telephone | 4232326900 |
| Practice Fax Number | 4232326903 |
| Mailing Telephone | 4232326900 |
| Mailing Fax Number | 4232326903 |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2017-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 47679 | TN | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
47679 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1529715 | 05 | |
| VA | 1992993760 | 05 |
| Street Address |
1 PROFESSIONAL PARK DR SUITE 21 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-6587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376548677 | Nancy G. Barbarito | Family Medicine | 1 Professional Park Dr, Ste 21, Johnson City, TN 37604-6589 | 2005-06-15 |
| 1063822773 | Julia E Davenport | Nurse Practitioner | 1 Professional Park Dr, Suite 21, Johnson City, TN 37604-6587 | 2014-05-02 |
| 1174957864 | Kevin K Blake | Registered Nurse | 1 Professional Park Dr, Suite 21, Johnson City, TN 37604-6587 | 2013-08-29 |
| 1649578386 | Mountain States Health Alliance | Social Worker | 1 Professional Park Dr, Suite 21 Room C-17, Johnson City, TN 37604-6587 | 2011-03-04 |
| 1194040493 | Elnora Spradling | Internal Medicine | 1 Professional Park Dr, Suite 21, Johnson City, TN 37604-6587 | 2010-03-30 |
| 1275761538 | Blue Ridge Medical Management Corporation | Internal Medicine | 1 Professional Park Dr, Ste 21, Johnson City, TN 37604-6587 | 2009-06-25 |
| 1164677647 | Kimberly Michelle Arrowood | Nurse Practitioner | 1 Professional Park Dr, Suite 21, Johnson City, TN 37604-6587 | 2008-11-25 |
| 1326178138 | Melanie R. Harrison | Emergency Medicine | 1 Professional Park Dr, Suite 21, Johnson City, TN 37604-6587 | 2007-03-07 |
| 1619039948 | Mary Ann Cash | Nurse Practitioner | 1 Professional Park Dr, Suite 18, Johnson City, TN 37604-6587 | 2006-12-14 |
| 1144241464 | Koyamangalath Krishnan | Internal Medicine | 1 Professional Park Dr, Ste 21, Johnson City, TN 37604-6587 | 2006-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487825600 | Laura Vanini Grobovsky | Internal Medicine | 1929 Lone Oak Rd, Johnson City, TN 37604-3404 | 2008-03-14 |
| 1043408578 | Mailien Reed Rogers | Internal Medicine | 111h Building 8 Dogwood Avenue, James H Quillen Va Medical Center, Johnson City, TN 37601 | 2007-10-10 |
| 1306869110 | Robert E. Enck | Internal Medicine | #1 Professional Park Dr., Suite 21, Regional Cancer Center, Johnson City, TN 37604 | 2006-07-25 |
| 1356758239 | Sakshi Singal | Internal Medicine | 325 N State of Franklin Rd Fl 2, Johnson City, TN 37604-6092 | 2014-07-12 |
| 1275761538 | Blue Ridge Medical Management Corporation | Internal Medicine | 1 Professional Park Dr, Ste 21, Johnson City, TN 37604-6587 | 2009-06-25 |
| 1144241464 | Koyamangalath Krishnan | Internal Medicine | 1 Professional Park Dr, Ste 21, Johnson City, TN 37604-6587 | 2006-07-21 |
| 1225038490 | Devapiran Jaishankar | Internal Medicine | 1 Professional Park Dr, Suite 21, Johnson City, TN 37604-6587 | 2005-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003428400 | Tennessee Oncology, Pllc | Internal Medicine | 1208 Pointe Centre Dr Ste 110, Chattanooga, TN 37421-3989 | 2020-08-18 |
| 1538324587 | Stephen Benjamin Cantrell | Internal Medicine | 2001 Mallory Ln Ste 103, Franklin, TN 37067-8234 | 2008-07-18 |
| 1912103425 | Jill Rene Tichy | Internal Medicine | 605 Glenwood Dr Ste 200, Chattanooga, TN 37404-1130 | 2007-06-22 |
| 1518052166 | Athens Physicians Practice LLC | Internal Medicine | 705 Cook Dr Ste 201, Athens, TN 37303-3494 | 2006-10-03 |
| 1801908223 | Timothy J Panella | Internal Medicine | 1926 Alcoa Hwy Ste 410, Knoxville, TN 37920-1545 | 2006-08-31 |
| 1578597704 | Ruth E Lamar | Internal Medicine | 4488 Carothers Pkwy Ste 300, Franklin, TN 37067-6583 | 2006-07-11 |
| 1801826185 | Stuart C Spigel | Internal Medicine | 103 Natchez Park Dr, Ste 103, Dickson, TN 37055-9013 | 2006-07-03 |
| 1881646073 | James D Peyton | Internal Medicine | 115 Winwood Dr, Ste 205, Lebanon, TN 37087-1340 | 2006-05-16 |
| 1386609394 | Larry L Schlabach | Internal Medicine | 1032 Mccallie Ave Ste 200, Chattanooga, TN 37403-2836 | 2006-04-20 |
| 1457328692 | Dwight Kaufman | Internal Medicine | 720 W Forest Avenue, Jackson, TN 38301-3902 | 2006-03-07 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
Please comment or provide details below to improve the information on DR. KANISHKA CHAKRABORTY.
| 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.