Chacko, Chowallur Dev

Chacko, Chowallur Dev is an individual health care provider with primary practice located at 2718 N Orange Ave Suite C, Orlando FL 32804-7611. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Chacko, Chowallur Dev can be contacted via phone (407) 894-2664.

Contact Information

Primary practice address
2718 N Orange Ave Suite C Orlando FL 32804-7611
Fax: (407) 894-2450
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME0034022 Florida

Profile Details

NPI number 1265432686
LBN Legal business name Chacko, Chowallur Dev
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Jul 8th, 2007 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265432686 NPPES
Florida Other ME0034022 STATE LICENSE

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