Provider Demographics
NPI:1790123040
Name:SALAZAR-CHATT, BENJAMIN THOMAS (DO)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:THOMAS
Last Name:SALAZAR-CHATT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:BEN
Other - Middle Name:T
Other - Last Name:CHATT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:MSC10 5550 PALLIATIVE MEDICINE DEPT INTERNAL
Mailing Address - Street 2:1 UNIVERSITY OF NEW MEXICO
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87131-0001
Mailing Address - Country:US
Mailing Address - Phone:505-272-4868
Mailing Address - Fax:505-272-9134
Practice Address - Street 1:MSC10 5550 PALLIATIVE MEDICINE DEPT INTERNAL
Practice Address - Street 2:1 UNIVERSITY OF NEW MEXICO
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87131-0001
Practice Address - Country:US
Practice Address - Phone:505-272-4868
Practice Address - Fax:505-272-9134
Is Sole Proprietor?:No
Enumeration Date:2013-06-10
Last Update Date:2016-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMA-1951-16207RH0002X, 207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine