Individual
MR. PRAVIN PHILIP CHACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 847-4100
Mailing address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 847-4100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT205563
PA
Other
Enumeration date
04/28/2014
Last updated
05/12/2021
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