CHARLES ANDREW CHACKO

PHOENIX, AZ
NPI1518301019
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RH0003X Internal Medicine, Hematology & Oncology
(Licence: AZ  64884)
Additional Taxonomies207R00000X Internal Medicine
(Licence: OH  129436)
207R00000X Internal Medicine
(Licence: MI  4301102344)
207RH0003X Internal Medicine, Hematology & Oncology
(Licence: KY  51219)
Enumeration Date2013-04-26
Last Update Date2022-11-16
Business Address
CHARLES ANDREW CHACKO MD
2222 E HIGHLAND AVE STE 400
PHOENIX, AZ 85016-4880
Phone number: 855-485-4673
Mailing Address
CHARLES ANDREW CHACKO MD
2500 W UTOPIA RD STE 100
PHOENIX, AZ 85027-4172
Phone number: 623-683-4462