Individual
DR. PETER SHIN CHA
Active
Individual
DR. PETER SHIN CHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
35-07-6821
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000320048
ANTHEM
OH
05
—
2475610
—
OH
01
—
409406
WELLCARE
OH
01
—
7395549
AETNA
OH
01
—
76821
HUMANA
OH
Enumeration date
10/24/2005
Last updated
07/09/2014
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