Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Bishan Chakravarty, MD

Individual provider Internal Medicine Physician · NPI 1790030195

Dr. Bishan Chakravarty, MD is a Nephrology in Farmington, Missouri. Qualified in 2004, 22 years ago. Practices with Avera McKennan, a 962-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
22
Licensed in
MO
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

703 Maple Valley Dr
Farmington, MO 63640
Phone: (573) 701-0470
Fax: (573) 701-0473
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 2018009371 (MO)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2018009371 (MO)

Record details

NPI number1790030195
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 21, 2012
Last updated in NPPESAugust 23, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Avera McKennan — 962 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations12 on file with Medicare

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