Individual
DR. ANGELO GREGORY CHACHAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1250 E 3900 S, STE 460, SALT LAKE CITY, UT 84124-1348
(801) 262-3564
(801) 262-3613
Mailing address
PO BOX 100253, ATLANTA, GA 30384-0253
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5951382-1205
UT
208C00000X
Colon & Rectal Surgery Physician
5951382-1205
UT
Other
Enumeration date
08/10/2005
Last updated
01/31/2022
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