Individual
ASHRAF ALI CHATTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1655 BERNARDIN AVE, SUITE 200, COLUMBIA, SC 29204-2039
(803) 256-1137
(803) 256-1138
Mailing address
1655 BERNARDIN AVE, SUITE 200, COLUMBIA, SC 29204-2039
(803) 256-1137
(803) 256-1138
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
21213
WV
207RN0300X
Nephrology Physician
Primary
35099
SC
207RN0300X
Nephrology Physician
44359
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841984000
—
WV
01
—
35099
SC MEDICAL LICENSE
SC
05
—
614930
—
AZ
Enumeration date
06/12/2006
Last updated
09/06/2012
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