Provider Demographics
NPI:1851559686
Name:CHATHA, AMINA P (MD)
Entity type:Individual
Prefix:
First Name:AMINA
Middle Name:P
Last Name:CHATHA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1009 US 27 S
Mailing Address - Street 2:
Mailing Address - City:AVON PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33825-5107
Mailing Address - Country:US
Mailing Address - Phone:863-314-9401
Mailing Address - Fax:
Practice Address - Street 1:1009 US 27 S
Practice Address - Street 2:
Practice Address - City:AVON PARK
Practice Address - State:FL
Practice Address - Zip Code:33825-5107
Practice Address - Country:US
Practice Address - Phone:863-314-9401
Practice Address - Fax:863-314-9405
Is Sole Proprietor?:No
Enumeration Date:2008-05-29
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL109163207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine