Basic Information
Provider Information
NPI: 1477177517
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHATTERJI
FirstName: RISHI
MiddleName:  
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NameSuffix:  
Credential:  
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Mailing Information
Address1: 26750 PROVIDENCE PKWY STE 200
Address2:  
City: NOVI
State: MI
PostalCode: 483741212
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 26750 PROVIDENCE PKWY STE 200
Address2:  
City: NOVI
State: MI
PostalCode: 483741212
CountryCode: US
TelephoneNumber: 8669742673
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/04/2020
LastUpdateDate: 06/04/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/04/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000X4351046914MIY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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