Provider Demographics
NPI:1356341937
Name:CHETLIN, SHERWOOD M (MD)
Entity type:Individual
Prefix:DR
First Name:SHERWOOD
Middle Name:M
Last Name:CHETLIN
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 1:3500 5TH AVE
Mailing Address - Street 2:ARTHRITIS AND INTERNAL MEDICINE
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-3337
Mailing Address - Country:US
Mailing Address - Phone:412-682-2434
Mailing Address - Fax:412-682-1044
Practice Address - Street 1:3500 5TH AVE
Practice Address - Street 2:ARTHRITIS AND INTERNAL MEDICINE
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3337
Practice Address - Country:US
Practice Address - Phone:412-682-2434
Practice Address - Fax:412-682-1044
Is Sole Proprietor?:No
Enumeration Date:2005-07-26
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD014712E207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0006916430005Medicaid
PA065944Medicare ID - Type Unspecified
PA0006916430005Medicaid