Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LIJU CHACKO, CRT
ActiveLIJU CHACKO, CRT is a 2278G1100X healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1780948638 is currently active in the NPPES registry. Verify at CMS.
2278G1100X · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1780948638
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 26, 2012 (14.091982936124 yrs)
- Last Updated
- Jun 26, 2012
- License
-
YM013705 (PA)
Practice Information
- Address
-
313 PAR DRPHILADELPHIA, PA, 191151018Browse PA providers · Browse ZIP 19115
- Phone
- 2675491171
- Primary Specialty
-
2278G1100X
2278G1100X
Other 2278G1100X Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| RASHAN WILLIAMS | — | 1851903850 |
| MRS. THERESA NARDO | RRT | 1326893488 |
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.