Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0003X | Hematology & Oncology | MD00025531 | WA |
Y | 207RX0202X | Medical Oncology | 284329 | NY |
NPI | 1114999083 |
---|---|
Provider Name | Gurkamal Singh Chatta |
First Address | Buffalo, NY 14263-0001 |
Second Address | Buffalo, NY 14263-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2006 |
Last Update Date | 17/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001748651 | (05) | PA |
1114999083 | (05) | WA |
F15994 | (02) | PA |
P01023152 | RAILROAD MEDICARE (01) | WA |