Provider Demographics
NPI:1679566137
Name:CHATTERJEE, ARJUN BIJOY (MD, MS)
Entity Type:Individual
Prefix:DR
First Name:ARJUN
Middle Name:BIJOY
Last Name:CHATTERJEE
Suffix:
Gender:M
Credentials:MD, MS
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 344
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27102-0344
Mailing Address - Country:US
Mailing Address - Phone:336-716-2255
Mailing Address - Fax:336-716-7277
Practice Address - Street 1:MEDICAL CENTER BOULEVARD
Practice Address - Street 2:WFU SOM - PULMONARY
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27157-0001
Practice Address - Country:US
Practice Address - Phone:336-716-4649
Practice Address - Fax:336-716-7277
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200001354207R00000X, 207RC0200X, 207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
128PYOtherBCBS
NC89128PYMedicaid
VA5879621Medicaid
WV1810398000Medicaid
7850303OtherAETNA
SCQ0135CMedicaid
43245OtherPARTNERS
A7083OtherMEDCOST
SCQ0135CMedicaid
A7083OtherMEDCOST