Individual
DR. JOSEPH CHACKO VALAYAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1324 WOODLAND DR, SUITE A, ELIZABETHTOWN, KY 42701-2651
(270) 765-5921
Mailing address
1324 WOODLAND DR, SUITE A, ELIZABETHTOWN, KY 42701-2651
(270) 765-5921
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
45063
KY
207RI0011X
Interventional Cardiology Physician
45063
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100233450
—
KY
Enumeration date
10/01/2009
Last updated
08/14/2025
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