Rebecca Gloria Chacko, M.D.
Internal Medicine, Hematology & Oncology in Wyandotte, MI. Individual provider (NPI-1).
NPI number1972952323
StatusActive
Last updated in NPPESJun 2, 2025
Details
- NPI
- 1972952323
- Entity type
- Individual (NPI-1)
- Name
- Rebecca Gloria Chacko
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 7, 2016
- Certification date
- Jun 2, 2025
- Last updated
- Jun 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RH0003X | Internal Medicine, Hematology & Oncology | 4301117405 | MI | Yes |
| 207R00000X | Internal Medicine | 4301117405 | MI |
Practice location
2333 Biddle AveWyandotte, MI 48192-4668
Phone 800-653-6568
Mailing address
29992 Northwestern Hwy Ste CFarmington Hills, MI 48334-3292
Phone 488-511-4302
Other practice locations
2799 W Grand Boulevard Null
Detroit, MI 48267-6710
Detroit, MI 48267-6710
Phone 313-916-2000
15855 19 Mile Rd
Clinton Twp, MI 48038-3504
Clinton Twp, MI 48038-3504
Phone 800-532-2411
3577 W 13 Mile Rd Ste 103
Royal Oak, MI 48073-6710
Royal Oak, MI 48073-6710
Phone 248-288-4500
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