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General NPI Number Information
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NPI Number | 1770579294
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Entity Type | Individual
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Provider Name | SIGMUND M CHA MD
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Gender | Male
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2590 HICKORY LN
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City | PEPPER PIKE
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State | OH
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Zip | 44124-4211
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Country | US
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Telephone | 216-475-3332
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Fax | 216-475-3350
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Provider Business Mailing Address
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Address Line | PO BOX 25730
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City | GARFIELD HTS
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State | OH
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Zip | 44125-0730
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Country | US
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Telephone | 216-475-3332
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Fax | 216-475-3350
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 35033134
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License Number State | OH
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