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MR. SUDARSHAN CHATTERJEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD FACC

Contact information

Practice address
4950 SAN BERNARDINO ST STE 208, MONTCLAIR, CA 91763-2328
(978) 430-3082
Mailing address
5810 E TRAPPER TRL, ANAHEIM, CA 92807-4734
(909) 398-1503
(909) 398-4950

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
53581
MA
207RI0011X
Interventional Cardiology Physician
Primary
C43324
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0014180
NEIGHBORHOOD HEALTH PLAN
01
0104615YPM01
ANTHEM BLUE SHIELD
01
053581
TUFTS HEALTH PLAN
01
201274943
PRIVATE HEALTH SYSTEM
01
2500732
UNITED HEALTH CARE
01
302201063
EDS NH MEDICAID
05
3057607
MA
01
31496
FALLON COMM HEALTH PLANS
01
419452
US FAMILY HEALTH
01
60560
CIGNA
01
61066
HARVARD PILGRIM
01
89673
AETNA USHC HMO ONLY
01
981971
NETWORK HEALTH PLAN
01
C43324
MEDICAL BOARD OF CALIFORNIA -DEPARTMENT OF CONSUMER AFFAIRS
CA
01
J09303
BCBS OF MASS
Enumeration date
10/25/2006
Last updated
07/21/2022
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