Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEBIN MATHEW CHACKO, MD
ActiveJEBIN MATHEW CHACKO, MD is a Neurology healthcare provider located in PUYALLUP, Washington. NPI 1598778458 is currently active in the NPPES registry. Verify at CMS.
Neurology · PUYALLUP, WA
Registration Details
- NPI Number
- 1598778458
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 14, 2006 (19.975164607099 yrs)
- Last Updated
- Sep 14, 2012
- Licenses
-
242143 (NY)MD60294851 (WA)
Practice Information
- Address
-
1701 3RD ST SEPUYALLUP, WA, 983724511Browse WA providers · Browse ZIP 98372
- Phone
- 2536974747
- Primary Specialty
-
Neurology
2084N0400X
- Additional Specialty
- Neurology
Other Neurology Providers in PUYALLUP, WA
| Name | Credential | NPI |
|---|---|---|
| DENNIS YI-LUN CHUANG | M.D., PH.D. | 1154770592 |
| DR. SHRAVANA DEEPTHI GUDIVADA | MD | 1316398985 |
| MORGAN JO TAN | MD | 1033613278 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.