Individual
JOSEPH LUCKOSE CHATHAM
Active
Individual
JOSEPH LUCKOSE CHATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
15177
AZ
207RI0011X
Interventional Cardiology Physician
Primary
15177
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0626556
AETNA
AZ
05
—
224634
—
AZ
01
—
AZ0015400
BCBS
AZ
Enumeration date
07/14/2006
Last updated
01/07/2015
Update your record
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