Provider Demographics
NPI:1639416969
Name:SCHATTERJILLC
Entity type:Organization
Organization Name:SCHATTERJILLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SANJIV
Authorized Official - Middle Name:
Authorized Official - Last Name:CHATTERJI
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD, FACP
Authorized Official - Phone:205-746-1486
Mailing Address - Street 1:3641 BROOKWOOD RD
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN BRK
Mailing Address - State:AL
Mailing Address - Zip Code:35223-1536
Mailing Address - Country:US
Mailing Address - Phone:205-746-1486
Mailing Address - Fax:
Practice Address - Street 1:3641 BROOKWOOD RD
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35223-1536
Practice Address - Country:US
Practice Address - Phone:205-746-1486
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-07
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL20559207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty