Provider Demographics
NPI:1821426941
Name:CHATTERJEE CARDIOLOGY PLLC
Entity Type:Organization
Organization Name:CHATTERJEE CARDIOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SATYABRATA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHATTERJEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:606-877-1849
Mailing Address - Street 1:73 THOMPSON POYNTER RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40741-7202
Mailing Address - Country:US
Mailing Address - Phone:606-877-1849
Mailing Address - Fax:
Practice Address - Street 1:73 THOMPSON POYNTER ROAD
Practice Address - Street 2:SUITE D
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741-1615
Practice Address - Country:US
Practice Address - Phone:606-877-1849
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-29
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty