Individual
DR. CHACKO J ALAPPATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2960 FERNDOWN DR, MIAMISBURG, OH 45342-3585
(937) 886-5510
(937) 813-2637
Mailing address
2960 FERNDOWN DR, MIAMISBURG, OH 45342-3585
(937) 886-5510
(937) 813-2637
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
35078283
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000492761
ANTHEM ID#
OH
01
—
204449063
TAX ID#
OH
05
—
2194601
—
OH
01
—
308717
AMERIGROUP ID#
OH
Enumeration date
07/06/2006
Last updated
07/16/2024
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