| NPI | 1508909045 |
|---|---|
| Professional Name | SUMY CHACKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MD c0004157) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 011290) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2010-03-30 |