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Contact Information

PETER S CHA, MD
6480 HARRISON AVE
SUITE 201
CINCINNATI, OH45247-7961
 Phone: 513-354-3700
 Fax: 513-354-7651
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PETER S CHA · (Male)

NPI Number 1205826161
Status Active
Credentials MD
Entity Individual
Enumeration date 10/24/2005
Last updated 07/09/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 35-07-6821
  • OH Medicaid 2475610
  • OH Other 7395549 AETNA
  • OH Other 000000320048 ANTHEM
  • OH Other 76821 HUMANA
  • OH Other 409406 WELLCARE
Hospital affiliation(s)
  • BETHESDA NORTH - (Acute Care)
    10500 MONTGOMERY ROAD
    CINCINNATI, OH 45242
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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