MEDICARE: SATYABRATA CHATTERJEE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	22780	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437143260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SATYABRATA CHATTERJEE MD

Provider Business Mailing Address
First Line	:	73 THOMPSON POYNTER RD STE D
Second Line	:
City	:	LONDON
State	:	KY
Zip	:	40741-7202
Country	:	US
Telephone Number	:	606-877-1849
Fax Number	:	606-877-1850

Provider Business Practice Location Address
First Line	:	12205 COUNTY LINE RD STE D
Second Line	:
City	:	MADISON
State	:	AL
Zip	:	35758-7720
Country	:	US
Telephone Number	:	938-227-6307
Fax Number	:	938-227-6318

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2005
Last Update Date	:	03/21/2023

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