Individual
DR. GEO PHILIPS CHACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 N PORTER AVE, NORMAN, OK 73071-6404
(405) 307-6630
(405) 307-6660
Mailing address
PO BOX 6023, NORMAN, OK 73070-6023
(405) 307-6630
(405) 307-6660
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23682
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200021120A
—
OK
Enumeration date
04/21/2006
Last updated
03/19/2026
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