Chacko, David M

Chacko, David M is an individual health care provider with primary practice located at 655 N Woodlawn , Wichita KS 67208. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Chacko, David M can be contacted via phone (316) 684-5158.

Contact Information

Primary practice address
655 N Woodlawn Wichita KS 67208
Phone: (316) 684-5158
Fax: (316) 681-1005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0429173 Kansas
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 0429173 Kansas

Profile Details

NPI number 1922167303
LBN Legal business name Chacko, David M
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Jan 29th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922167303 NPPES
Kansas Other 180043551 RAILROAD MEDICARE
Kansas MEDICAID 100143410B RAILROAD MEDICARE

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