Provider Demographics
NPI:1629055181
Name:CHATTHA, SAVNEET KAUR (MD)
Entity Type:Individual
Prefix:DR
First Name:SAVNEET
Middle Name:KAUR
Last Name:CHATTHA
Suffix:
Gender:F
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:PO BOX 416457
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-6457
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:727 STATE RD
Practice Address - Street 2:SUITE 1
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-1444
Practice Address - Country:US
Practice Address - Phone:609-921-6410
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07806000207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJI25357Medicare UPIN