Dr. Theodore John Chaconas
Pediatrician
747 52nd St
Oakland
, California 94609-1809
Dr. Theodore John Chaconas
Pediatrician
747 52nd St
Oakland
, California 94609-1809
(510) 601-3979
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Theodore John Chaconas
- 747 52nd St
- Oakland, CA
- Zip : 94609-1809
- Fax : (510) 601-3979
- Phone : (510) 428-3237
Second Address
- Dr. Theodore John Chaconas
- 747 52nd St
- Oakland, CA
- Zip : 94609-1809
- Fax : (510) 601-3979
- Phone : (510) 428-3237
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | G065093 | CA |
National Provider Identifier
| NPI | 1013069806 |
|---|---|
| Provider Name | Dr. Theodore John Chaconas |
| First Address | Oakland, CA 94609-1809 |
| Second Address | Oakland, CA 94609-1809 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/01/2007 |
| Last Update Date | 08/07/2007 |
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.