Healthcare Provider Details

I. General information

NPI: 1891311973
Provider Name (Legal Business Name): ASMI CHATTARAJ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2020
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date: 01/17/2022
Reactivation Date: 03/24/2022

III. Provider practice location address

40 MEDICAL PARK STE 300
WHEELING WV
26003-6392
US

IV. Provider business mailing address

320 E NORTH AVE STE 344
PITTSBURGH PA
15212-4756
US

V. Phone/Fax

Practice location:
  • Phone: 304-243-6442
  • Fax: 304-243-3715
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number36418
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: