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DR. MANU CHACKO MD NPI 1366704041


NPI Information

NPI: 1366704041
Provider Name: DR. MANU CHACKO, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
1200 BRIARCREST DR
BRYAN, TX
ZIP 77802
Phone: (979) 268-0786
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DR. Manu Chacko, MD is a general practice in Bryan, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Manu Chacko, MD NPI is 1366704041. 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:

1200 BRIARCREST DR
BRYAN, TX
ZIP 77802-222
Phone: (979) 268-0786

The enumeration date for this NPI number is 6/8/2012 and was last updated on 6/8/2012.


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
1208D00000XGeneral Practice0468Foreign CountryYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.