Robi P Chatterji Md Pc | |
3201 N Van Buren St Suite 400 Enid OK 73703-1800 | |
(580) 237-1877 | |
(580) 237-2872 |
Full Name | Robi P Chatterji Md Pc |
---|---|
Speciality | Family Medicine |
Location | 3201 N Van Buren St, Enid, Oklahoma |
Authorized Official Name and Position | Robi P Chatterji (PRESIDENT) |
Authorized Official Contact | 5802371877 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Robi P Chatterji Md Pc 3201 N Van Buren St Suite 400 Enid OK 73703-1800 Ph: (580) 237-1877 | Robi P Chatterji Md Pc 3201 N Van Buren St Suite 400 Enid OK 73703-1800 Ph: (580) 237-1877 |
NPI Number | 1619992864 |
---|---|
Provider Enumeration Date | 07/12/2006 |
Last Update Date | 10/30/2014 |
Medicare PECOS PAC ID | 6901800010 |
---|---|
Medicare Enrollment ID | O20060901000327 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619992864 | NPI | - | NPPES |
100096370A | Medicaid | OK | |
441701036002 | Other | OK | BLUE CROSS BLUE SHIELD |
080158359 | Other | OK | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Robi P Chatterji |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750322459 PECOS PAC ID: 4789668179 Enrollment ID: I20040615000001 |
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