Mariam Chacko
MD | Pediatric Adolescent Medicine | Female
Mariam Chacko, MD is a Houston, Texas based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Mariam Chacko is
6701 Fannin St, Houston, Texas - 77030-2316. She can be contacted on phone at
832-822-2778 and fax number 832-825-3141.
Mariam Chacko is a sole proprietor of her business.
NPI number (Unique professional ID) for Mariam Chacko is
1750461182 which was assigned by NPPES on 17 Oct, 2006 and it was last updated on 25 Jul, 2012.
Mariam Chacko license number is
G6915 for Pediatrics Adolescent Medicine (2080A0000X) in Texas.
Mariam Chacko specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Mariam Chacko basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Mariam Chacko |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Mariam Chacko address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 6701 Fannin St
Houston, TX, 77030-2316
United States |
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| Phone Number : | 832-822-2778 |
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| Fax Number : | 832-825-3141 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1750461182 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 Oct, 2006 |
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| Last Updated On : | 25 Jul, 2012 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mariam Chacko are as mentioned. Primary taxonomy code for Mariam Chacko, MD is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | G6915 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Mariam Chacko such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 136190901 | MEDICAID | TX | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 6701 Fannin St
Houston, TX, 77030-2316
United States |
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| Phone Number : | 832-824-1000 |
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| Fax Number : | 832-825-3141 |
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Business Location:
Patients can refer following map for directions to
Mariam Chacko practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.