Provider Demographics
NPI:1902899677
Name:CHALKO, ALEXANDER J (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:J
Last Name:CHALKO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5653 FRIST BLVD
Mailing Address - Street 2:SUITE 331
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-2064
Mailing Address - Country:US
Mailing Address - Phone:615-889-4447
Mailing Address - Fax:615-889-5891
Practice Address - Street 1:5653 FRIST BLVD
Practice Address - Street 2:SUITE 331
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-2064
Practice Address - Country:US
Practice Address - Phone:615-889-4447
Practice Address - Fax:615-889-5891
Is Sole Proprietor?:No
Enumeration Date:2005-08-26
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNMD270172084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN073031OtherVALUE OPTIONS
TN093091000OtherMAGELLAN
TN175808OtherCOMPSYCH
TN4274926OtherAETNA
TN49077OtherCIGNA
TN3093164Medicaid
TN3158697OtherBLUE CROSS BLUE SHIELD
TN175808OtherCOMPSYCH
TN3158697OtherBLUE CROSS BLUE SHIELD