Provider Demographics
NPI:1790489888
Name:CHA, NICHOLAS ERIC (MD)
Entity Type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:ERIC
Last Name:CHA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2550 MOSSIDE BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-3514
Mailing Address - Country:US
Mailing Address - Phone:412-457-1100
Mailing Address - Fax:
Practice Address - Street 1:2550 MOSSIDE BLVD STE 500
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-3514
Practice Address - Country:US
Practice Address - Phone:412-457-1050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-30
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program