Provider Demographics
NPI:1316901796
Name:SARKER, CHITTA RANJAN (MD)
Entity type:Individual
Prefix:DR
First Name:CHITTA
Middle Name:RANJAN
Last Name:SARKER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:415 MORRIS ST
Mailing Address - Street 2:SUITE 304
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25301-1842
Mailing Address - Country:US
Mailing Address - Phone:304-388-7783
Mailing Address - Fax:304-388-7788
Practice Address - Street 1:3100 MACCORKLE AVE SE
Practice Address - Street 2:SUITE 101
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25304-1223
Practice Address - Country:US
Practice Address - Phone:304-388-8380
Practice Address - Fax:304-388-8388
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2013-10-02
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Provider Licenses
StateLicense IDTaxonomies
WV20294207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
830007053OtherRAILROAD MEDICARE
WV1805213-000Medicaid
WV1805213-000Medicaid
SA4013381Medicare PIN
SA4013382Medicare PIN
830007053Medicare PIN