Provider Demographics
NPI:1750322459
Name:CHATTERJI, ROBI P (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBI
Middle Name:P
Last Name:CHATTERJI
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Gender:M
Credentials:MD
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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
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2014-10-30
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Provider Licenses
StateLicense IDTaxonomies
OK18937207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK080158359OtherRAILROAD MEDICARE
OK100096370AMedicaid
OK100096370AMedicaid