Chacko, George

Chacko, George is an individual health care provider with primary practice located at 2301 E Allegheny Ave , Philadelphia PA 19134-4427. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Chacko, George can be contacted via phone (215) 291-3000.

Contact Information

Primary practice address
2301 E Allegheny Ave Philadelphia PA 19134-4427
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD-073105-L Pennsylvania

Profile Details

NPI number 1538165212
LBN Legal business name Chacko, George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Jul 8th, 2007 - about 17 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 1538165212 NPPES
Pennsylvania MEDICAID 1853138

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