Chacko, Suryamol A

Chacko, Suryamol A is an individual health care provider with primary practice located at 8605 Rigley'S Choice Dr , Baltimore MD 21236. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Chacko, Suryamol A can be contacted via phone (855) 546-2001.

Contact Information

Primary practice address
8605 Rigley'S Choice Dr Baltimore MD 21236
Phone: (855) 546-2001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R168493 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R168493 Maryland

Profile Details

NPI number 1053793927
LBN Legal business name Chacko, Suryamol A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2015
Last updated Jun 26th, 2015 - about 11 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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