Individual
CHARLES ANDREW CHACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2222 E HIGHLAND AVE STE 400, PHOENIX, AZ 85016-4880
(855) 485-4673
(602) 938-4401
Mailing address
2500 W UTOPIA RD STE 100, PHOENIX, AZ 85027-4172
(623) 683-4462
(623) 683-4963
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
129436
OH
207R00000X
Internal Medicine Physician
4301102344
MI
207RH0003X
Hematology & Oncology Physician
51219
KY
207RH0003X
Hematology & Oncology Physician
Primary
64884
AZ
Other
Enumeration date
04/26/2013
Last updated
06/23/2025
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