Provider Demographics
NPI:1134330988
Name:CHA, EDWARD N (MD)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:N
Last Name:CHA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:505 PARNASSUS AVE
Mailing Address - Street 2:BOX 1270 - M1286
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-2204
Mailing Address - Country:US
Mailing Address - Phone:415-885-7276
Mailing Address - Fax:415-476-0624
Practice Address - Street 1:505 PARNASSUS AVE
Practice Address - Street 2:BOX 1270 - M1286
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2204
Practice Address - Country:US
Practice Address - Phone:415-885-7276
Practice Address - Fax:415-476-0624
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2008-08-28
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Provider Licenses
StateLicense IDTaxonomies
NY244407207R00000X
CAA103347207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine