Michael Robert Chaka, | |
2398 Hillsdale Dr, Beavercreek, OH 45431-5670 | |
(419) 699-4398 | |
Not Available |
Full Name | Michael Robert Chaka |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 2398 Hillsdale Dr, Beavercreek, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265774798 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 35-129022 (Ohio) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | University Hospitals Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
Mailing Address | Practice Location Address |
---|---|
Michael Robert Chaka, 2398 Hillsdale Dr, Beavercreek, OH 45431-5670 Ph: () - | Michael Robert Chaka, 2398 Hillsdale Dr, Beavercreek, OH 45431-5670 Ph: (419) 699-4398 |
Sara Marie Diskin, Pediatrics Medicare: Medicare Enrolled Practice Location: 1425 N Fairfield Rd Ste 130, Beavercreek, OH 45432 Phone: 937-320-1950 Fax: 937-320-9332 | |
Krista G Gelford, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2141 N Fairfield Rd Ste C, Beavercreek, OH 45434 Phone: 937-427-2112 Fax: 937-427-2215 | |
Dr. Matthew G Hardwick, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1425 N Fairfield Rd., Ste 120, Beavercreek, OH 45432 Phone: 937-320-3888 Fax: 937-320-3848 | |
Katherine Amelia Muse, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1425 N Fairfield Rd., 120, Beavercreek, OH 45432 Phone: 937-320-8888 Fax: 937-320-3848 | |
Dr. Rogelio Virgilio B Amisola, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1425 N Fairfield Rd., 120, Beavercreek, OH 45432 Phone: 937-320-8888 Fax: 937-320-3848 | |
Courtney Anne Mccall, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1425 N Fairfield Rd Ste 130, Beavercreek, OH 45432 Phone: 937-320-1950 Fax: 937-320-9332 |