Valayam, Joseph Chacko

Valayam, Joseph Chacko is an sole proprietor health care provider with primary practice located at 1324 Woodland Dr Suite A, Elizabethtown KY 42701-2651. 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. Valayam, Joseph Chacko can be contacted via phone (270) 765-5921.

Contact Information

Primary practice address
1324 Woodland Dr Suite A Elizabethtown KY 42701-2651
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 45063 Kentucky
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 45063 Kentucky

Profile Details

NPI number 1770817124
LBN Legal business name Valayam, Joseph Chacko
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 1st, 2009
Last updated Feb 19th, 2024 - 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 1770817124 NPPES
Kentucky MEDICAID 7100233450

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