Provider Demographics
NPI:1134158892
Name:SOLICH, CHARA J (MD)
Entity type:Individual
Prefix:DR
First Name:CHARA
Middle Name:J
Last Name:SOLICH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHARA
Other - Middle Name:
Other - Last Name:SOLICH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1948 S EAGLE RD
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83642-2452
Mailing Address - Country:US
Mailing Address - Phone:208-514-2925
Mailing Address - Fax:208-515-2706
Practice Address - Street 1:1948 S EAGLE RD
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642-2452
Practice Address - Country:US
Practice Address - Phone:208-514-2925
Practice Address - Fax:208-515-2706
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDM-11274207RR0500X
UT58802111205207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
006766002Medicare PIN
H89810Medicare UPIN
ID20000830Medicare PIN