Provider Demographics
NPI:1922158633
Name:CHATTERJEE, SATYA N (MD)
Entity Type:Individual
Prefix:
First Name:SATYA
Middle Name:N
Last Name:CHATTERJEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8167 RIVER FRONT LN
Mailing Address - Street 2:
Mailing Address - City:FAIR OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95628-7627
Mailing Address - Country:US
Mailing Address - Phone:916-863-5156
Mailing Address - Fax:916-967-5472
Practice Address - Street 1:8167 RIVER FRONT LN
Practice Address - Street 2:
Practice Address - City:FAIR OAKS
Practice Address - State:CA
Practice Address - Zip Code:95628-7627
Practice Address - Country:US
Practice Address - Phone:916-863-5156
Practice Address - Fax:916-967-5472
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA305420208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A305420Medicaid
00A305420Medicare ID - Type Unspecified
CAA26143Medicare UPIN