Chacko, Thomas

Chacko, Thomas is an sole proprietor health care provider with primary practice located at 3905 Brookside Pkwy Ste 203 , Alpharetta GA 30022-4425. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Chacko, Thomas can be contacted via phone (267) 226-3181.

Contact Information

Primary practice address
3905 Brookside Pkwy Ste 203 Alpharetta GA 30022-4425
Phone: (267) 226-3181
Fax: (888) 823-1934
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 59383 Georgia

Profile Details

NPI number 1356443089
LBN Legal business name Chacko, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2006
Last updated Aug 24th, 2023 - about last year

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 1356443089 NPPES
Georgia Other 59383 GEORGIA MEDICAL LICENSE

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