Provider Demographics
NPI:1023283124
Name:KACHIKWU, EVELYN LILLIAN (MD)
Entity type:Individual
Prefix:
First Name:EVELYN
Middle Name:LILLIAN
Last Name:KACHIKWU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1325 N ROSE DR
Mailing Address - Street 2:STE 210
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-3840
Mailing Address - Country:US
Mailing Address - Phone:714-961-5804
Mailing Address - Fax:714-961-5809
Practice Address - Street 1:2000 TRANSMOUNTAIN RD STE B
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79911-3602
Practice Address - Country:US
Practice Address - Phone:915-215-8400
Practice Address - Fax:915-612-9253
Is Sole Proprietor?:No
Enumeration Date:2008-04-29
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXV8657208600000X, 2086X0206X
CAA94067208600000X, 2086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208600000XAllopathic & Osteopathic PhysiciansSurgery