Individual
MATTHEWS CHACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-0005
(615) 936-2000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
59260
KY
207RI0011X
Interventional Cardiology Physician
61727
TN
207RI0011X
Interventional Cardiology Physician
Primary
D57781
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
699238200
—
MD
Enumeration date
03/05/2007
Last updated
07/10/2024
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