Provider Demographics
NPI:1407980881
Name:CHATTHA, GEETINDER KAUR (MD)
Entity Type:Individual
Prefix:DR
First Name:GEETINDER
Middle Name:KAUR
Last Name:CHATTHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7064 CORLINE CT
Mailing Address - Street 2:BLDG C
Mailing Address - City:SEBASTOPOL
Mailing Address - State:CA
Mailing Address - Zip Code:95472-4528
Mailing Address - Country:US
Mailing Address - Phone:707-829-5778
Mailing Address - Fax:707-829-7629
Practice Address - Street 1:7064 CORLINE CT
Practice Address - Street 2:BLDG C
Practice Address - City:SEBASTOPOL
Practice Address - State:CA
Practice Address - Zip Code:95472-4528
Practice Address - Country:US
Practice Address - Phone:707-829-5778
Practice Address - Fax:707-829-7629
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG65613207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology