Provider Demographics
NPI:1700877099
Name:CHATTERJEE, BENU (MD)
Entity type:Individual
Prefix:DR
First Name:BENU
Middle Name:
Last Name:CHATTERJEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 PERIMETER PARK DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-8442
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6090 SIX FORKS RD STE A
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-8624
Practice Address - Country:US
Practice Address - Phone:919-870-0488
Practice Address - Fax:919-870-8898
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-04
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC28603207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2084000OtherAETNA
NC248122OtherMAMSI
NC8922094Medicaid
NC0450086OtherUNITED HEALTH CARE
NC22094OtherBLUE CROSS BLUE SHIELD
NC248122OtherMAMSI
NC0450086OtherUNITED HEALTH CARE
NC2084000OtherAETNA