Chadakoff, Charles Andrew

Chadakoff, Charles Andrew is an individual health care provider with primary practice located at 5380 S Rainbow Blvd , Las Vegas NV 89118-1877. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Chadakoff, Charles Andrew can be contacted via phone (702) 845-2841.

Contact Information

Primary practice address
5380 S Rainbow Blvd Las Vegas NV 89118-1877
Phone: (702) 845-2841
Fax: (702) 252-4405
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA1050 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA1050 Nevada

Profile Details

NPI number 1770782195
LBN Legal business name Chadakoff, Charles Andrew
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2007
Last updated Apr 7th, 2010 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1770782195 NPPES
Nevada MEDICAID 100512583

Popular Providers