Individual
DR. SATISH JACOB CHACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2121 E HARMONY RD, STE 100, FORT COLLINS, CO 80528-3400
(970) 221-1000
(970) 297-6844
Mailing address
2121 E HARMONY RD, STE 100, FORT COLLINS, CO 80528-3400
(970) 221-1000
(970) 297-6844
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
10740A
WY
207R00000X
Internal Medicine Physician
125058582
IL
207R00000X
Internal Medicine Physician
DR.0057114
CO
207RC0000X
Cardiovascular Disease Physician
036132053
IL
207RC0000X
Cardiovascular Disease Physician
10740A
WY
207RC0000X
Cardiovascular Disease Physician
Primary
DR.0057114
CO
207U00000X
Nuclear Medicine Physician
10740A
WY
207UN0901X
Nuclear Cardiology Physician
DR.0057114
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01205234
—
CO
01
—
DR.0057114
STATE MEDICAL LICENSE
CO
Enumeration date
06/18/2010
Last updated
12/02/2016
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