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NPI Code Detail

MEDICARE: ACHJAN CHADRAN MPT

MEDICARE: ACHJAN CHADRAN MPT
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
1225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1703833OTHERPAINDIVIDUAL BLUE SHIELD
2561758OTHERPAGROUP BLUE SHIELD
3872651OTHERPAHEALTH AMERICA

General Provider Information

NPI Number : 1619097003
Entity Type Code : Individual
Provider Name (Legal Business Name) : ACHJAN CHADRAN MPT
Provider Business Mailing Address
First Line : 1033 PERRY HWY
Second Line :
City : PITTSBURGH
State : PA
Zip : 15237-2123
Country : US
Telephone Number : 724-940-3990
Fax Number : 724-940-3993
Provider Business Practice Location Address
First Line : 1033 PERRY HWY
Second Line :
City : PITTSBURGH
State : PA
Zip : 15237-2123
Country : US
Telephone Number : 724-940-3990
Fax Number : 724-940-3993
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2007
Last Update Date : 07/08/2007

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Directions to “ ACHJAN CHADRAN MPT” Practice Location

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