MARIAM CHACKO MD
NPI 1750461182
Pediatrics - Adolescent Medicine in Houston, TX

Q: What is Mariam Chacko's NPI number?

The NPI number for Mariam Chacko is 1750461182. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Q: What is Mariam Chacko's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Q: When was this NPI record last updated?

The NPPES record for Mariam Chacko was last updated on July 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 17, 2006

6701 FANNIN ST, HOUSTON, TX 77030(832) 822-2778(832) 825-3141 Get Directions Write a Review

NPPES record last updated: July 25, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mariam Chacko Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIAM CHACKO MD (NPI 1750461182) is an individual adolescent medicine provider in Houston, Texas, licensed in Texas (G6915) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1750461182

Entity TypeIndividualFemale

Primary Taxonomy2080A0000X

Provider Legal NameMARIAM CHACKOCredential: MD

Location Address6701 FANNIN STHouston, TX 77030-2316

Mailing Address6701 Fannin StHouston, TX 77030-2316 · (832) 824-1000 · Fax (832) 825-3141

Phone(832) 822-2778

Fax(832) 825-3141

Sole ProprietorNo

Enumeration DateOctober 17, 2006

Last NPPES UpdateJuly 25, 2012

✔ NPI 1750461182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

License✔ Licensed in TX · G6915

Definition

A pediatrician who 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.

6701 FANNIN ST, Houston, TX 77030

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Other Identifiers 3

Medicare UPINC14330

Medicare ID-Type Unspecified80007G

Medicaid136190901TX

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SONIA ANN MONTEIRO MD

Pediatrics (Developmental - Behavioral Pediatrics)