Provider Demographics
NPI:1396701280
Name:CHREKY, EMILE (MD)
Entity type:Individual
Prefix:DR
First Name:EMILE
Middle Name:
Last Name:CHREKY
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 1:238 SHERYL LN
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-3769
Mailing Address - Country:US
Mailing Address - Phone:412-417-6040
Mailing Address - Fax:
Practice Address - Street 1:238 SHERYL LN
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-3769
Practice Address - Country:US
Practice Address - Phone:412-417-6040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-21
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD041018L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001302561Medicaid
PAF39017Medicare UPIN
PA121117Medicare ID - Type Unspecified