Dr. Chowallur Dev Chacko , MD
Specialist • Orlando, FL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Chowallur Chacko has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Chowallur Chacko, MD was a registered Specialist practicing in Orlando, FL. Throughout an active medical career spanning 1 years, Dr. Chacko provided care at the practice location at 2718 N ORANGE AVE until profile deactivation on 2006-03-22.
Practice Location & Contact Primary Location
2718 N Orange Ave
Suite C
Orlando, FL 328047611
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Orlando, FL
Practicing in Orlando, FL (3036 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Additional State Medicaid & Healthcare Payer Identifiers
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Pediatrics
Doctor of Medicine (M.D.)
Pediatrics - Neonatal-Perinatal Medicine
Doctor of Medicine (M.D.)
Pediatrics
Doctor of Medicine (M.D.)
Pediatrics - Neonatal-Perinatal Medicine
Doctor of Medicine (M.D.)
Pediatrics - Neonatal-Perinatal Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Neonatal
Advanced Registered Nurse Practitioner
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 2718 N ORANGE AVE, SUITE C, ORLANDO, FL 328047611 (Tel: 4078942664)
Registered at 2718 N ORANGE AVE, SUITE C, ORLANDO, FL 328047611 (Tel: 4078942664)
Recorded as CHOWALLUR CHACKO, M.D.
Specialist (License #ME0034022 in FL)
Record officially reactivated for active practice on March 27, 2006
Record deactivated on March 22, 2006
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2718 N Orange Ave, Suite C
Orlando, FL 328047611
Phone: 4078942664
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