David M Chacko in Wichita - Retina Specialist

David M Chacko - NPI 1922167303

David M Chacko is a Retina Specialist in Wichita, Kansas. David M Chacko practices all healthcare services and medical treatments related to Retina Specialist. The NPI Number for David M Chacko is 1922167303. The last update date is 2018-01-29.

David M Chacko's current location address is 655 N Woodlawn, Wichita, Kansas. You can contact this provider via phone number 3166845158 and fax number 3166811005. The mailing address for David M Chacko is 655 N Woodlawn, Wichita, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name David M Chacko
Address 655 N Woodlawn, Wichita, Kansas
Phone Number 3166845158
Fax Number 3166811005
Sole Proprietor N
Credentials M.D., PH.D

NPI Number Detail

NPI Number 1922167303
Provider Enumeration Date 2006-12-08
Last Updated Date 2018-01-29

Provider Mailing Address Detail

Address 655 N Woodlawn
City Wichita
State Kansas (KS)
Post Code 67208
Phone Number 3166845158
Fax Number 3166811005

Provider's Primary Taxonomy Detail

Speciality Retina Specialist
Taxonomy 207Wx0107X
Licence No 429173
Definition:
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
180043551 KS RAILROAD MEDICARE
100143410B KS --

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FAQs about David M Chacko

What is the unique identifier code issued to David M Chacko by the Centers for Medicare & Medicaid Services?

The David M Chacko has been assigned the NPI (National Provider Identifier) 1922167303. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where David M Chacko is geographically located?

The David M Chacko is physically situated at the following location: 655 N Woodlawn, Wichita, KS, 67208.

What is David M Chacko's specialized field of practice, and what is the corresponding taxonomy classification code?

The David M Chacko's area of specialization is Retina Specialist, and the corresponding taxonomy code that categorizes this field of practice is 207Wx0107X.

On what date did the Centers for Medicare & Medicaid Services issue the 1922167303 to David M Chacko?

The David M Chacko received its 1922167303 assignment from the Centers for Medicare & Medicaid Services on 2006-12-08.

When was the information pertaining to David M Chacko most recently updated or revised?

The details related to David M Chacko, including its address, specialty, and other relevant information, were last updated or revised on 2018-01-29.

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