Individual
DR. PRANAB K CHATTOPADHYAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
541 HISTORIC HWY 441-N, DEMOREST, GA 30535-0037
(770) 533-6521
(770) 535-7445
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
A48746
CA
208M00000X
Hospitalist Physician
Primary
037777
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000586275L
—
GA
05
—
00A487460
—
CA
01
—
1642909
WELLCARE
GA
01
—
3673501
CIGNA
GA
01
—
P00471396
MEDICARE RAILROAD
—
Enumeration date
07/18/2006
Last updated
02/01/2021
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