Individual
MISS AMALA CHACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3649 CEDAR RD, APARTMENT NUMBER 1506, ABILENE, TX 79606
(872) 238-3692
Mailing address
1900 PINE STREET, HENDRICK MEDICAL CENTER, ABILENE, TX 79601
(325) 670-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125076606
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2020
Last updated
07/19/2023
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