MEDICARE: ZENAIDA A CHUGTAI MD INC

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	208000000X	Pediatrics Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609981190
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZENAIDA A CHUGTAI MD INC

Provider Business Mailing Address
First Line	:	PO BOX 80690
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44708
Country	:	US
Telephone Number	:	330-833-5530
Fax Number	:	330-833-6085

Provider Business Practice Location Address
First Line	:	1012 W MAIN ST
Second Line	:
City	:	LOUISVILLE
State	:	OH
Zip	:	44641
Country	:	US
Telephone Number	:	330-875-1454
Fax Number	:	330-875-8680

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ZENAIDA A CHUGTAI
Credential	:	MD
Telephone Number	:	330-875-1454

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	08/22/2020

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