Provider Demographics
NPI:1205433455
Name:CHALKIAS CARDIOLOGY PLLC
Entity type:Organization
Organization Name:CHALKIAS CARDIOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FOTINI
Authorized Official - Middle Name:
Authorized Official - Last Name:CHALKIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-675-6142
Mailing Address - Street 1:11671 JOLLYVILLE RD STE 120
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-4141
Mailing Address - Country:US
Mailing Address - Phone:512-675-6098
Mailing Address - Fax:
Practice Address - Street 1:11671 JOLLYVILLE RD STE 120
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-4141
Practice Address - Country:US
Practice Address - Phone:512-675-6098
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-01
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty