Provider Demographics
NPI:1720027824
Name:CHUGHTAI, SABA ATIQ (MD)
Entity Type:Individual
Prefix:DR
First Name:SABA
Middle Name:ATIQ
Last Name:CHUGHTAI
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 1:5740 GATEWAY
Mailing Address - Street 2:STE 104
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-1893
Mailing Address - Country:US
Mailing Address - Phone:513-234-7870
Mailing Address - Fax:513-234-7836
Practice Address - Street 1:5740 GATEWAY
Practice Address - Street 2:STE 104
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-1893
Practice Address - Country:US
Practice Address - Phone:513-234-7870
Practice Address - Fax:513-234-7836
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2015-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350825152084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2485225Medicaid
OH2485225Medicaid
OH4127295Medicare PIN
OHH28496Medicare UPIN