MEDICARE: EMILY 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
1	207X00000X	Orthopaedic Surgery Physician	01082693A	IN
2	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	57139	AZ
3	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	BP10056953	TX
4	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	01082693A	IN
5	390200000X	Student in an Organized Health Care Education/Training Program	11016337A	IN
6	207X00000X	Orthopaedic Surgery Physician	D96263	MD

General Provider Information

NPI Number	:	1215215678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY CHA M.D.

Provider Business Mailing Address
First Line	:	13950 BRANDYWINE RD STE 225
Second Line	:
City	:	BRANDYWINE
State	:	MD
Zip	:	20613-5815
Country	:	US
Telephone Number	:	301-856-1682
Fax Number	:

Provider Business Practice Location Address
First Line	:	13950 BRANDYWINE RD STE 225
Second Line	:
City	:	BRANDYWINE
State	:	MD
Zip	:	20613-5815
Country	:	US
Telephone Number	:	301-856-1682
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2011
Last Update Date	:	04/13/2023

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Directions to “ EMILY CHA M.D.” Practice Location

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