Provider Demographics
NPI:1376544817
Name:MUKHERJEE, SATYAJIT (MD)
Entity type:Individual
Prefix:
First Name:SATYAJIT
Middle Name:
Last Name:MUKHERJEE
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 1:111 CHAMBERS HILL DR STE 200
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-7304
Mailing Address - Country:US
Mailing Address - Phone:717-709-7922
Mailing Address - Fax:717-263-2055
Practice Address - Street 1:100 CHAMBERS HILL DR STE 200
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-7301
Practice Address - Country:US
Practice Address - Phone:717-709-7930
Practice Address - Fax:717-709-7931
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-09
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4174752084P0805X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100015949OtherRAILROAD MEDICARE
PA120420406OtherDEPT OF LABOR
PA25-1716306OtherINTERGROUP
PA379953OtherHEALTH AMERICA
PA1507057OtherAETNA NON-HMO
PA50001294OtherCAPITAL BLUECROSS
PA867633OtherMEDICARE GROUP #
PA25-1716306OtherHEALTHNET/TRICARE
PA0018737580003Medicaid
PA1372387OtherHIGHMARK BLUESHIELD
PA25-1716306OtherINFORMED
PA3114864OtherMAMSI
PAMD417475OtherLICENSE
PA25-1716306OtherDEVON
PA7057412OtherAETNA HMO
PA1007307260034OtherMEDICAID GROUP #
PA2160061OtherFIRST HEALTH
PA25-1716306OtherSOUTH CENTRAL PREFERRED
PA25-1716306OtherMULTIPLAN/PHCS
PA7057412OtherAETNA HMO
PA25-1716306OtherINFORMED
PA053808LN7Medicare PIN