ANITA CHACKO

PHOENIX, AZ
NPI1134784424
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: AZ  009860)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-05-02
Last Update Date2023-08-18
Business Address
ANITA CHACKO DO
2025 W NORTHERN AVE
PHOENIX, AZ 85021-5157
Phone number: 602-655-6300
Mailing Address
ANITA CHACKO DO
2601 E ROOSEVELT ST
PHOENIX, AZ 85008-4973
Phone number: