Provider Demographics
NPI:1407174451
Name:CHATHA, UZMA ARSHAD (MD)
Entity Type:Individual
Prefix:
First Name:UZMA
Middle Name:ARSHAD
Last Name:CHATHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:90 WASHINGTON ST STE 310
Mailing Address - Street 2:
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07017-1050
Mailing Address - Country:US
Mailing Address - Phone:973-676-7192
Mailing Address - Fax:973-676-0525
Practice Address - Street 1:90 WASHINGTON ST
Practice Address - Street 2:SUITE 311
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07017
Practice Address - Country:US
Practice Address - Phone:973-676-7192
Practice Address - Fax:973-676-0525
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-13
Last Update Date:2018-08-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA08758900207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0244457Medicaid
NJ184144Medicare PIN