Organization
THE MEDICAL SPECIALISTS OF KY, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SATYABRATA CHATTERJEE MD (CEO, MANAGING PARTNER)
(606) 864-4040
Entity
Organization
Contact information
Practice address
1210 W 5TH ST, LONDON, KY 40741-2112
(606) 864-4040
(606) 864-3500
Mailing address
1210 W 5TH ST, LONDON, KY 40741-2112
(606) 864-4040
(606) 864-3500
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
2084N0400X
Neurology Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209345
FEDERAL BLACK LUNG NUMBER
KY
05
—
65925935
—
KY
Enumeration date
09/08/2005
Last updated
04/04/2008
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