Provider Type Icon

DR. AMBROSE JOHN JOSEPH CHAZHIKATTU MD NPI 1629206701

NPI Profile

NPI: 1629206701

Provider Name: DR. AMBROSE JOHN JOSEPH CHAZHIKATTU, MD

Classification: Student in an Organized Health Care Education/Training Program - 390200000X

Entity Type: Individual

Organization: J. ARTHUR DOSHER MEMORIAL HOSPITAL

PECOS Registration: Yes

Address:
924 N. HOWE ST.
SOUTHPORT, NC
ZIP 28461

Phone: (910) 457-3910

DR. Ambrose John Joseph Chazhikattu, MD is a student in an organized health care education/training program in Southport, NC with 8 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Ambrose John Joseph Chazhikattu, MD NPI is 1629206701. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

924 N. HOWE ST.
SOUTHPORT, NC
ZIP 28461
Phone: (910) 457-3910
Fax: (910) 457-3931

The NPI 1629206701 is registered in the Medicare Provider, Enrollment, Chain and Ownership System PECOS.

The enumeration date for this NPI number is 6/26/2009 and was last updated on 6/30/2014.

Map - Location of Practice

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 390200000X Student in an Organized Health Care Education/Training Program Yes

What is NPI?
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 7/13/2015