Provider Demographics
NPI:1417981176
Name:CHATTERJEE, NOBITA (MD)
Entity type:Individual
Prefix:
First Name:NOBITA
Middle Name:
Last Name:CHATTERJEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NOBITA
Other - Middle Name:
Other - Last Name:CHITTILAPPILLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1400 CENTRE ST STE 208
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02459-2415
Mailing Address - Country:US
Mailing Address - Phone:508-785-5094
Mailing Address - Fax:833-972-5100
Practice Address - Street 1:1400 CENTRE ST STE 208
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02459-2415
Practice Address - Country:US
Practice Address - Phone:508-785-5094
Practice Address - Fax:833-972-5100
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA154837207R00000X
NH154837207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHG70576Medicare UPIN