Provider Demographics
NPI:1073578175
Name:CHATRATH, KAPIL (MD)
Entity Type:Individual
Prefix:DR
First Name:KAPIL
Middle Name:
Last Name:CHATRATH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 ESSJAY RD STE 170
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-5782
Mailing Address - Country:US
Mailing Address - Phone:716-630-1219
Mailing Address - Fax:716-817-1726
Practice Address - Street 1:325 ESSJAY RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221
Practice Address - Country:US
Practice Address - Phone:716-630-1163
Practice Address - Fax:716-250-5912
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY199798-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00010028901OtherUNIVERA
NY199798-0WOtherWORKERS COMPENSATION
NY161000580OtherNORTH AMERICAN PREFERRED
NY161000580OtherEMPIRE
NY110114168OtherRR MEDICARE
NY01577086Medicaid
NY0407431OtherIHA
NY000523833001OtherHEALTH NOW
NY000523833001OtherHEALTH NOW
NYU52743Medicare PIN