Provider Demographics
NPI:1619992864
Name:ROBI P CHATTERJI MD PC
Entity Type:Organization
Organization Name:ROBI P CHATTERJI MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBI
Authorized Official - Middle Name:P
Authorized Official - Last Name:CHATTERJI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:580-237-1877
Mailing Address - Street 1:3201 N VAN BUREN ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73703-1800
Mailing Address - Country:US
Mailing Address - Phone:580-237-1877
Mailing Address - Fax:580-237-2872
Practice Address - Street 1:3201 N VAN BUREN ST
Practice Address - Street 2:SUITE 400
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73703-1800
Practice Address - Country:US
Practice Address - Phone:580-237-1877
Practice Address - Fax:580-237-2872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100096370AMedicaid
OK441701036002OtherBLUE CROSS BLUE SHIELD
OK080158359OtherRAILROAD MEDICARE
OKF91186Medicare UPIN
OK080158359OtherRAILROAD MEDICARE