Provider Demographics
NPI:1700187762
Name:CHAD HOWARD MD PA
Entity Type:Organization
Organization Name:CHAD HOWARD MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:VAHE
Authorized Official - Middle Name:
Authorized Official - Last Name:AGHAJANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-535-5530
Mailing Address - Street 1:5225 ALBEMARLE RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28212-3604
Mailing Address - Country:US
Mailing Address - Phone:704-535-5530
Mailing Address - Fax:704-535-5537
Practice Address - Street 1:5225 ALBEMARLE RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28212-3604
Practice Address - Country:US
Practice Address - Phone:704-535-5530
Practice Address - Fax:704-535-5537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-08
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200200125173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Multi-Specialty