DR. AMBROSE JOHN JOSEPH CHAZHIKATTU, MD - NPI NUMBER 1629206701
Provider Name: DR. AMBROSE JOHN JOSEPH CHAZHIKATTU, MD
NPI Number: 1629206701
Clasification: Student in an Organized Health Care Education/Training Program (390200000X)
Organization: J. ARTHUR DOSHER MEMORIAL HOSPITAL
924 N. HOWE ST.
Phone Number: (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. The assigned NPI number for this provider is 1629206701 and is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business address is:
924 N. HOWE ST.
Phone: (910) 457-3910
Fax: (910) 457-3931
The enumeration date for this NPI number is 6/26/2009 and was last updated on 6/30/2014.
Map - Location of Practice
||DR. ANTHONY PAUL COLLINS, D.O.
Student in an Organized Health Care Education/Training Program
The following information regarding the scope of practice of this provider is available:
||Student in an Organized Health Care Education/Training Program
||Entity Type Code
||Provider Last Name Legal Name
||Provider First Name
||Provider Middle Name
||Provider Name Prefix Text
||Provider Credential Text
||Provider First Line Business Practice Location Address
||924 N. HOWE ST.
||Provider Business Practice Location Address City Name
||Provider Business Practice Location Address State Name
||Provider Business Practice Location Address Postal Code
||Provider Business Practice Location Address Country Code If outside U S
||Provider Business Practice Location Address Telephone Number
||Provider Business Practice Location Address Fax Number
||Provider Enumeration Date
||Last Update Date
||Provider Gender Code
||Healthcare Provider Taxonomy Code 1
||Healthcare Provider Primary Taxonomy Switch 1
||Is Sole Proprietor
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This page was last updated on: 1/13/2015
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