Anita Chacko
Pediatric Infectious Diseases
621 S New Ballas Rd Ste. 674a
Saint Louis
, Missouri 63141-8232
Anita Chacko
Pediatric Infectious Diseases
621 S New Ballas Rd Ste. 674a
Saint Louis
, Missouri 63141-8232
(314) 251-5670
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About
Features
Specialties
- Pediatric Infectious Diseases
Languages spoken
- English
Location
First Address
- Anita Chacko
- 621 S New Ballas Rd Ste. 674a
- Saint Louis, MO
- Zip : 63141-8232
- Fax : (314) 251-5670
- Phone : (314) 251-6831
Second Address
- Anita Chacko
- 621 S New Ballas Rd Ste. 674a
- Saint Louis, MO
- Zip : 63141-8232
- Fax : (314) 251-5670
- Phone : (314) 251-6831
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0208X | Pediatric Infectious Diseases | R4F01 | MO |
National Provider Identifier
| NPI | 1417933433 |
|---|---|
| Provider Name | Anita Chacko |
| First Address | Saint Louis, MO 63141-8232 |
| Second Address | Saint Louis, MO 63141-8232 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/12/2005 |
| Last Update Date | 01/10/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| R4F01 | MO LICENSE # (01) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.