Siju T Chacko is a Internal Medicine in Highland, Indiana. Siju T Chacko practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Siju T Chacko is 1720017262. The last update date is 2019-02-09.
Siju T Chacko's current location address is 9143 Indianapolis Blvd, Highland, Indiana. You can contact this provider via phone number 2199721547 and fax number 2199721641. The mailing address for Siju T Chacko is 9143 Indianapolis Blvd, Highland, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Siju T Chacko |
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Address | 9143 Indianapolis Blvd, Highland, Indiana |
Phone Number | 2199721547 |
Fax Number | 2199721641 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1720017262 |
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Provider Enumeration Date | 2006-06-30 |
Last Updated Date | 2019-02-09 |
Provider Mailing Address Detail
Address | 9143 Indianapolis Blvd |
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City | Highland |
State | Indiana (IN) |
Post Code | 463222500 |
Phone Number | 2199721547 |
Fax Number | 2199721641 |
Provider's Primary Taxonomy Detail
Speciality | Internal Medicine |
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Taxonomy | 207R00000X |
Licence No | 36101193 |
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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36101193 | IL | -- | |
200892400 | IN | -- |
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What is the Siju T Chacko's unique identification number?
The Siju T Chacko has been assigned the NPI (National Provider Identifier) Number 1720017262 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Siju T Chacko located?
The Siju T Chacko is located at 9143 Indianapolis Blvd, Highland, IN 463222500.
What is the Siju T Chacko's area of specialization and corresponding taxonomy classification?
The Siju T Chacko's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.
On what date did the Siju T Chacko receive the assignment of its 1720017262 from the Centers for Medicare & Medicaid Services?
The Siju T Chacko was issued its 1720017262 by the Centers for Medicare & Medicaid Services on 2006-06-30.
When was the Siju T Chacko's information last updated?
The Siju T Chacko's information was last updated on 2019-02-09.