Provider Demographics
NPI:1942866637
Name:CHAKALOV, MANCHO MANEV (DO)
Entity Type:Individual
Prefix:DR
First Name:MANCHO
Middle Name:MANEV
Last Name:CHAKALOV
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5996 SW 70TH ST FL 5
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-3540
Mailing Address - Country:US
Mailing Address - Phone:305-284-7577
Mailing Address - Fax:305-284-7688
Practice Address - Street 1:7000 SW 62ND AVE STE 600
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4728
Practice Address - Country:US
Practice Address - Phone:305-284-7577
Practice Address - Fax:305-284-7688
Is Sole Proprietor?:No
Enumeration Date:2019-05-17
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS20097207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology