Provider Demographics
NPI:1053385294
Name:CHATHA, AIYSHA IFTIKHAR (MD)
Entity type:Individual
Prefix:
First Name:AIYSHA
Middle Name:IFTIKHAR
Last Name:CHATHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 PENN AVE
Mailing Address - Street 2:
Mailing Address - City:TURTLE CREEK
Mailing Address - State:PA
Mailing Address - Zip Code:15145-2085
Mailing Address - Country:US
Mailing Address - Phone:412-823-7390
Mailing Address - Fax:412-823-0611
Practice Address - Street 1:501 PENN AVE
Practice Address - Street 2:
Practice Address - City:TURTLE CREEK
Practice Address - State:PA
Practice Address - Zip Code:15145-2085
Practice Address - Country:US
Practice Address - Phone:412-823-7390
Practice Address - Fax:412-823-0611
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD427393207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101615282Medicaid
I44693Medicare UPIN
PA095596Medicare PIN