Individual ProviderShourjo ChakravortyInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address3300 Gallows Rd, Falls Church, VA 22042-3307(703) 776-3582(610) 864-9181PECOS EnrollmentBased on the most recent information from CMS, provider Shourjo Chakravorty is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 10:37 AM.Profile DetailsProvider ID1770108417Provider TypeIndividualFull NameChakravorty, ShourjoCredentialMDGenderMaleSole ProprietorYesEnumeration Date6/9/2020Last Updated7/17/2023Contact InformationPractice LocationPractice Address3300 Gallows Rd, Falls Church, VA 22042-3307Phone(703) 776-3582FaxUnlisted FaxMailing LocationMailing Address2620 S Veitch St Apt 101, Arlington, VA 22206-3019Phone(610) 864-9181FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense0101273830Virginia