Individual provider · Type 1 NPI

Chowallur Dev Chacko, MD

Specialist · Orlando, FL

NPI number 1265432686 Active · reactivated Mar 27, 2006

Practice location

2718 N Orange Ave, Suite C
Orlando, FL 32804-7611

Fax (407) 894-2450

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XME0034022 (FL)

Specialist: 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.

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About NPI 1265432686

Chowallur Dev Chacko, MD's National Provider Identifier is 1265432686, issued on Jul 28, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Orlando, FL. The record was last updated on Jul 13, 2026.