Sumy Chacko in Brookeville - Physician Assistant
Sumy Chacko - NPI 1508909045
Sumy Chacko is a Physician Assistant in Brookeville, Maryland. Sumy Chacko practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Sumy Chacko is 1508909045. The last update date is 2010-03-30.
Sumy Chacko's current location address is 2429 Epstein Ct, Brookeville, Maryland. You can contact this provider via phone number 5163135928. The mailing address for Sumy Chacko is 2429 Epstein Ct, Brookeville, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sumy Chacko |
|---|---|
| Address | 2429 Epstein Ct, Brookeville, Maryland |
| Phone Number | 5163135928 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1508909045 |
|---|---|
| Provider Enumeration Date | 2007-02-15 |
| Last Updated Date | 2010-03-30 |
Provider Mailing Address Detail
| Address | 2429 Epstein Ct |
|---|---|
| City | Brookeville |
| State | Maryland (MD) |
| Post Code | 208333263 |
| Phone Number | 5163135928 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 11290 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identification code assigned to Sumy Chacko by the Centers for Medicare & Medicaid Services?
The Sumy Chacko has been issued the NPI (National Provider Identifier) 1508909045. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Sumy Chacko is geographically located?
The Sumy Chacko is physically situated at the following location: 2429 Epstein Ct, Brookeville, MD, 208333263.
What is the area of specialization for Sumy Chacko, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Sumy Chacko is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1508909045 to Sumy Chacko?
The Sumy Chacko received its 1508909045 assignment from the Centers for Medicare & Medicaid Services on 2007-02-15.
As of what date was the information regarding Sumy Chacko, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Sumy Chacko, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-03-30.