Chacko, John Kabzeel Yesudas
Chacko, John Kabzeel Yesudas is an sole proprietor health care provider with primary practice located at 3212 Churchland Boulevard Suite 8, Chesapeake VA 23321-5206. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Chacko, John Kabzeel Yesudas can be contacted via phone (757) 399-0886.Contact Information
Primary practice address
3212 Churchland Boulevard Suite 8
Chesapeake VA 23321-5206
Phone: (757) 399-0886
Fax: (757) 399-1191
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 0101037065 | Virginia |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 0101037065 | Virginia |
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 0101037065 | Virginia |
Profile Details
| NPI number | 1972695872 |
|---|---|
| LBN Legal business name | Chacko, John Kabzeel Yesudas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Sep 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972695872 | NPPES |
| Virginia | Other | 174596 | ANTHEM BC BS |
| Virginia | Other | 15421 | ANTHEM BC BS |
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