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Individual

ANDREW CHACKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
550 UNIVERSITY BLVD STE 641, INDIANAPOLIS, IN 46202-5149
(317) 948-2444
Mailing address
550 UNIVERSITY BLVD STE 641, INDIANAPOLIS, IN 46202-5149
(317) 948-2444
(614) 663-4555

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/06/2022
Last updated
05/31/2023
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