Provider Demographics
NPI:1952566978
Name:CHA, HEATHER H (MD)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:H
Last Name:CHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1923 S UTICA AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-6520
Mailing Address - Country:US
Mailing Address - Phone:918-748-7650
Mailing Address - Fax:918-403-6341
Practice Address - Street 1:1923 S UTICA AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-6520
Practice Address - Country:US
Practice Address - Phone:918-748-7650
Practice Address - Fax:918-403-6341
Is Sole Proprietor?:No
Enumeration Date:2008-07-21
Last Update Date:2018-03-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK30527207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease