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NPI Code Detail

MEDICARE: DR. JAI C CHA M.D.

MEDICARE: DR. JAI C CHA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician0101026695VA

General Provider Information

NPI Number : 1124024773
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAI C CHA M.D.
Provider Business Mailing Address
First Line : 1425 BLUE HERON RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23454-1714
Country : US
Telephone Number : 757-481-5314
Fax Number :
Provider Business Practice Location Address
First Line : 736 BATTLEFIELD BLVD N
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23320-4941
Country : US
Telephone Number : 757-312-6118
Fax Number : 757-312-6235
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2005
Last Update Date : 07/08/2007

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