Provider Demographics
NPI:1336127414
Name:CHEKAN, EDWARD GERALD (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:GERALD
Last Name:CHEKAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1300 5TH ST
Mailing Address - Street 2:EXTENSION
Mailing Address - City:BEAVER
Mailing Address - State:PA
Mailing Address - Zip Code:15009-1853
Mailing Address - Country:US
Mailing Address - Phone:724-775-2112
Mailing Address - Fax:724-775-2131
Practice Address - Street 1:78 TUSCARAWAS RD
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:PA
Practice Address - Zip Code:15009-1721
Practice Address - Country:US
Practice Address - Phone:724-775-4242
Practice Address - Fax:724-775-3977
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD055710L208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAH10228Medicare UPIN