Healthcare Provider Details

I. General information

NPI: 1578293635
Provider Name (Legal Business Name): MOHIT CHHATPAR DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2022
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 SILVER ST
MIDDLETOWN CT
06457-3946
US

IV. Provider business mailing address

1250 SILVER ST
MIDDLETOWN CT
06457-3946
US

V. Phone/Fax

Practice location:
  • Phone: 860-852-1064
  • Fax:
Mailing address:
  • Phone: 860-852-1064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOT021968
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number81202
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: