Individual
ELDHO PARAPPURATHU CHACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2945
(443) 444-8000
Mailing address
3 CODY AVE, BALTIMORE, MD 21234-1375
(410) 248-9454
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R168468
MD
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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