Chacko, Riya Susan

Chacko, Riya Susan is an individual health care provider with primary practice located at 915 Old Fern Hill Rd Bldg A Ste 5, West Chester PA 19380-4269. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Chacko, Riya Susan can be contacted via phone (610) 696-2850.

Contact Information

Primary practice address
915 Old Fern Hill Rd Bldg A Ste 5 West Chester PA 19380-4269
Fax: (610) 696-7159
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD470439 Pennsylvania

Profile Details

NPI number 1265622369
LBN Legal business name Chacko, Riya Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2007
Last updated Jul 7th, 2023 - about 2 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 1265622369 NPPES
Pennsylvania MEDICAID 1037748040001

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