Chatham, Joseph Luckose
Chatham, Joseph Luckose is an individual health care provider with primary practice located at 221 S Power Rd Suite 101, Mesa AZ 85206-5205. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Chatham, Joseph Luckose can be contacted via phone (480) 981-2010.Contact Information
Primary practice address
221 S Power Rd Suite 101
Mesa AZ 85206-5205
Phone: (480) 981-2010
Fax: (480) 981-1771
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 15177 | Arizona |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 15177 | Arizona |
Profile Details
| NPI number | 1417973496 |
|---|---|
| LBN Legal business name | Chatham, Joseph Luckose |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Jan 7th, 2015 - about 9 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 | 1417973496 | NPPES |
| Arizona | MEDICAID | 224634 | |
| Arizona | Other | 0626556 | |
| Arizona | Other | AZ0015400 |
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