Individual
ASHA CHAKKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 MERCY DR NW, CANTON, OH 44708-2614
(330) 489-1087
Mailing address
2669 WINGATE WAY NW, APT # 3, CANTON, OH 44708-8939
(317) 871-1089
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
35.099397
OH
Other
Enumeration date
07/30/2008
Last updated
08/06/2012
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