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NPI Code Detail

MEDICARE: STEPHEN S. CHA MD

MEDICARE: STEPHEN S. CHA MD
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
1207R00000XInternal Medicine PhysicianMD036307DC

General Provider Information

NPI Number : 1396918587
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN S. CHA MD
Provider Business Mailing Address
First Line : 2032 BELMONT RD NW APT 605
Second Line :
City : WASHINGTON
State : DC
Zip : 20009-5417
Country : US
Telephone Number : 202-657-9551
Fax Number :
Provider Business Practice Location Address
First Line : 2032 BELMONT RD NW APT 605
Second Line :
City : WASHINGTON
State : DC
Zip : 20009-5417
Country : US
Telephone Number : 202-657-9551
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2008
Last Update Date : 04/08/2008

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