MEDICARE: DR. ARSHAD ALI CHATHA 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	208000000X	Pediatrics Physician	183114	NY

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	:	1790867059
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARSHAD ALI CHATHA M.D.

Provider Business Mailing Address
First Line	:	342 MERCER ST
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07302-3118
Country	:	US
Telephone Number	:	201-432-3775
Fax Number	:

Provider Business Practice Location Address
First Line	:	679 E 138TH ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10454-3307
Country	:	US
Telephone Number	:	718-585-0008
Fax Number	:

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

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	07/08/2007

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