Provider Demographics
NPI:1801145016
Name:CHHATBAR, PRATIK YASHVANT (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:PRATIK
Middle Name:YASHVANT
Last Name:CHHATBAR
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Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:96 JONATHAN LUCAS ST
Mailing Address - Street 2:301 CSB
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29425-8900
Mailing Address - Country:US
Mailing Address - Phone:843-792-2561
Mailing Address - Fax:843-792-4423
Practice Address - Street 1:96 JONATHAN LUCAS ST
Practice Address - Street 2:301 CSB
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425-8900
Practice Address - Country:US
Practice Address - Phone:843-792-2561
Practice Address - Fax:843-792-4423
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-04
Last Update Date:2012-09-04
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Provider Licenses
StateLicense IDTaxonomies
SCLL35104207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery