Organization
PHILIP L CHATHAM MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP L CHATHAM MD (PHYSICIAN/PRESIDENT OF CORPORATION)
(818) 366-1878
Entity
Organization
Contact information
Practice address
16801 DEVONSHIRE ST, GRANADA HILLS, CA 91344-7405
(818) 366-1878
(818) 360-7850
Mailing address
16801 DEVONSHIRE ST, GRANADA HILLS, CA 91344-7405
(818) 366-1878
(818) 360-7850
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A32433
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A324330
BLUESHIELD
CA
01
—
760111577
RAILROAD
CA
01
—
A32433
BLUE CROSS
CA
05
—
GR0088970
—
CA
Enumeration date
07/20/2006
Last updated
05/24/2016
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