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Individual

DR. VARUGHESE P CHACKO

Active
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Individual

DR. VARUGHESE P CHACKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
194069
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01446208
—
NY
01
—
04I501
BCBS
NY
01
—
0H4781
ACS HEALTHNET
—
01
—
2503832
GHI
—
01
—
WP646
OXFORD
—
Enumeration date
08/23/2006
Last updated
05/22/2008
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