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Sumy Chacko, PA-C

Physician Assistant, Surgical in Olney, MD. Individual provider (NPI-1).

NPI number1508909045
StatusActive
Last updated in NPPESMar 30, 2010

Details

NPI
1508909045
Entity type
Individual (NPI-1)
Name
Mrs. Sumy Chacko
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Feb 15, 2007
Last updated
Mar 30, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AS0400X Physician Assistant, Surgicalc0004157MDYes
363A00000X Physician Assistant011290NY

Other names

  • Sumy Chacko (Professional Name)

Practice location

18101 Prince Philip Dr
Olney, MD 20832-1514

Phone 301-774-4105

Mailing address

2429 Epstein Ct
Brookeville, MD 20833-3263

Phone 516-313-5928

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Other Surgical Physician Assistant providers in Olney, MD

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