Healthcare Provider Details

I. General information

NPI: 1508445164
Provider Name (Legal Business Name): ZEFR WEI-TIAN CHAO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2021
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 IRMC DR STE 100
INDIANA PA
15701-3674
US

IV. Provider business mailing address

120 IRMC DR STE 100
INDIANA PA
15701-3674
US

V. Phone/Fax

Practice location:
  • Phone: 724-427-2260
  • Fax: 724-427-2707
Mailing address:
  • Phone: 724-427-2260
  • Fax: 724-427-2707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberMD497398
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: