Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 31039 | MN |
NPI | 1275590747 |
---|---|
Provider Name | Dr. Kanan Chatterjee |
First Address | Fayetteville, NC 28311-2946 |
Second Address | Fayetteville, NC 28311-2946 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2006 |
Last Update Date | 08/07/2007 |