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Individual

IFTIKHAR AHMED CHATHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2500 HIGHLAND RD STE 102, HERMITAGE, PA 16148-4602
(724) 981-7003
(724) 981-2171
Mailing address
2500 HIGHLAND RD STE 102, HERMITAGE, PA 16148-4602
(724) 981-7003
(724) 981-2171

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
MD036917L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0007033140003
PA
05
0345077
OH
01
069781
HIGHMARK BLUE SHIELD
PA
01
441082339
RAILROAD MEDICARE
Enumeration date
08/12/2006
Last updated
12/27/2019
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