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NPI Code Detail

MEDICARE: EVELYN LILLIAN KACHIKWU MD

MEDICARE: EVELYN LILLIAN KACHIKWU MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery PhysicianV8657TX
2208600000XSurgery PhysicianA94067CA
32086X0206XSurgical Oncology PhysicianA94067CA
42086X0206XSurgical Oncology PhysicianV8657TX

General Provider Information

NPI Number : 1023283124
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVELYN LILLIAN KACHIKWU MD
Provider Business Mailing Address
First Line : 1325 N ROSE DR
Second Line : STE 210
City : PLACENTIA
State : CA
Zip : 92870-3840
Country : US
Telephone Number : 714-961-5804
Fax Number : 714-961-5809
Provider Business Practice Location Address
First Line : 2000 TRANSMOUNTAIN RD STE B
Second Line :
City : EL PASO
State : TX
Zip : 79911-3602
Country : US
Telephone Number : 915-215-8400
Fax Number : 915-612-9253
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2008
Last Update Date : 05/22/2025

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Directions to “ EVELYN LILLIAN KACHIKWU MD” Practice Location

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