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Organization

EASTERN VIRGINIA SURGICAL ASSOCIATES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN KABZEEL YESUDAS CHACKO M.D. (PRESIDENT OWNER)
(757) 399-0886
Entity
Organization

Contact information

Practice address
3212 CHURCHLAND BOULEVARD, SUITE 8, CHESAPEAKE, VA 23321-5206
(757) 399-0886
(757) 399-1191
Mailing address
3212 CHURCHLAND BOULEVARD, SUITE 8, CHESAPEAKE, VA 23321-5206
(757) 399-0886
(757) 399-1191

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
VA
2086S0129X
Vascular Surgery Physician
208C00000X
Colon & Rectal Surgery Physician
Primary

Other

Enumeration date
09/28/2006
Last updated
09/11/2025
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